CAJ | 학술논문

目的：对肿瘤化疗患者外周中心静脉（PICC ）置管的并发症及造成这种并发症的相关因素进行分析，为减少和预防并发症的发生提供理论依据。方法以2011年3月至2014年9月来该院进行肿瘤化疗的127例化疗并行PICC置管的患者为研究对象，对其发生的并发症及导致并发症发生的相关因素进行分析。结果127例行PICC置管患者中，17例患者发生机械性静脉炎，发生率13．38％，8例发生导管相关性感染，发生率为6．29％，7例发生导管堵塞，发生率5．51％；头臂静脉PICC置管静脉炎的发生率为60．00％，明显高于贵要静脉2．41％和正中静脉20．70％，差异有统计学意义（P＜0．05）；常规护理维护模式导管相关性感染的发生率为11．11％，明显高于3M换药模式护理1．56％，差异有统计学意义（P＜0．05）。结论肿瘤化疗患者进行 PICC置管治疗容易产生并发症，而正确的穿刺方法、选择合适的穿刺部位及采取有效的护理能够减少机械性静脉炎、导管相关性感染及导管堵塞等并发症的发生。
목적：대종류화료환자외주중심정맥（PICC ）치관적병발증급조성저충병발증적상관인소진행분석，위감소화예방병발증적발생제공이론의거。방법이2011년3월지2014년9월래해원진행종류화료적127례화료병행PICC치관적환자위연구대상，대기발생적병발증급도치병발증발생적상관인소진행분석。결과127례행PICC치관환자중，17례환자발생궤계성정맥염，발생솔13．38％，8례발생도관상관성감염，발생솔위6．29％，7례발생도관도새，발생솔5．51％；두비정맥PICC치관정맥염적발생솔위60．00％，명현고우귀요정맥2．41％화정중정맥20．70％，차이유통계학의의（P＜0．05）；상규호리유호모식도관상관성감염적발생솔위11．11％，명현고우3M환약모식호리1．56％，차이유통계학의의（P＜0．05）。결론종류화료환자진행 PICC치관치료용역산생병발증，이정학적천자방법、선택합괄적천자부위급채취유효적호리능구감소궤계성정맥염、도관상관성감염급도관도새등병발증적발생。
Objective To analyze the peripherally inserted central catheter(PICC) catheter complications and their related factors causing these complications in the tumor patients with chemotherapy to provide the theoretic ba‐sis for reducing and preventing the occurrence of these complications .Methods 127 cases of tumor chemotherapy and PICC in our hospital from March 2011 to September 2014 catheter patients were taken as the research subjects .The complications and the related factors causing the complications were analyzed .Results Among 127 cases of PICC ,17 cases of mechanical phlebitis occurred with the incidence rate of 13 .38% ,8 cases of catheter related infections oc‐curred with the incidence rate of 6 .29% and 7 cases of catheter blockage with the incidence rate of 5 .51% ;the PICC catheter phlebitis incidence rate in brachiocephalic vein was 60 .00% ,which was significantly higher than 2 .41% in basilic vein and 20 .70% in the median vein ,the differences were statistically significant (P<0 .05);the incidence rate of catheter related infections in the routine nursing maintenance mode was 11 .11% ,which was obviously higher than 1 .56% in the 3M dressing mode of nursing ,the difference was statistically significant (P<0 .05) .Conclusion The patients with tumor chemotherapy by PICC are prone to generate complications ,and the correct puncture method ,se‐lecting suitable puncture site and taking effective nursing care can reduce the complications of mechanical phlebitis , catheter related infection and catheter blockage .