集束化护理对肿瘤患者PICC置管发生深静脉血栓的疗效观察

发布时间：2018-07-01 09:09

本文选题：血栓栓塞 + 经外周静脉置入中心静脉导管　；参考：《蚌埠医学院学报》2016年04期

【摘要】：目的:观察集束化护理对肿瘤患者经外周静脉置入中心静脉导管(PICC)发生深静脉血栓的疗效。方法:选择2013年收治的64例肿瘤PICC置管患者为对照组给予常规护理,2014年收治的68例为观察组给予集束化护理。观察2组患者PICC深静脉血栓的发生情况。结果:(1)穿刺静脉与血栓发生的关系。选择头静脉:观察组7例(10.3%),对照组28例(43.8%);选择贵要静脉:观察组61例(89.3%),对照组36例(56.2%),差异有统计学意义(P0.01)。头静脉置管发生血栓例数:观察组1例(14.2%),对照组5例(17.9%);贵要静脉置管发生血栓例数:观察组1例(14.2%),对照组6例(16.7%),差异有统计学意义(P0.05)。(2)置管时间与血栓发生的关系。置管2周:观察组1例(1.5%),对照组8例(12.5%),差异有统计学意义(P0.05);2个月:观察组3例(4.4%),对照组10例(15.6%),差异有统计学意义(P0.05);全程:观察组3例(4.4%),对照组12例(18.8%),差异有统计学意义(P0.01)。(3)导管尖端位置与血栓发生的关系。一次置管到位:观察组65例(95.5%),对照组53例(82.8%),差异有统计学意义(P0.05);二次调整后到位:观察组67例(98.5%),对照组61例(95.3%),差异无统计学意义(P0.05);导管调整后血栓发生例数:观察组1例(1.5%),对照组8例(12.5%),差异有统计学意义(P0.05)。结论:采取集束化护理可降低PICC导致的深静脉血栓的发生率,值得在临床上推广。
[Abstract]:Objective: to observe the effect of cluster nursing on deep venous thrombosis (DVT) caused by central venous catheter (PICC) in patients with tumor. Methods: 64 patients with PICC in 2013 were selected as control group and 68 cases in 2014 as observation group. To observe the occurrence of PICC deep venous thrombosis in two groups. Results: (1) the relationship between venipuncture and thrombosis. There were 7 cases (10.3%) in the observation group and 28 cases (43.8%) in the control group, 61 cases (89.3%) in the observation group and 36 cases (56.2%) in the control group (P0.01). There were 1 case (14.2%) in the observation group and 5 cases (17.9%) in the control group, and 1 case (14.2%) in the observation group and 6 cases (16.7%) in the control group. The difference was statistically significant (P0.05) between the time of catheterization and thrombosis. 2 weeks: observation group 1 case (1.5%), control group 8 cases (12.5%), difference was statistically significant (P0.05); 2 months: observation group 3 cases (4.4%), control group 10 cases (15.6%), the difference was statistically significant (P0.05); whole course: observation group 3 cases (4.4%), control group 12 cases (18.8%), the difference was statistically significant. Clinical significance (P0.01). (3) the relationship between the tip position of catheter and thrombosis. There were 65 cases (95.5%) in the observation group and 53 cases (82.8%) in the control group, the difference was statistically significant (P0.05), 67 cases (98.5%) in the observation group and 61 cases (95.3%) in the control group after secondary adjustment, the difference was not statistically significant (P0.05); 1 case (1.5%) in the observation group and 8 cases (12.5%) in the control group, the difference was statistically significant (P0.05). Conclusion: cluster nursing can reduce the incidence of deep venous thrombosis caused by PICC, and it is worth popularizing in clinic.
【作者单位】：蚌埠医学院第一附属医院肿瘤内科;
【分类号】：R473.73

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