本文選題：血栓栓塞 + 經(jīng)外周靜脈置入中心靜脈導管��； 參考：《蚌埠醫(yī)學院學報》2016年04期

【摘要】：目的:觀察集束化護理對腫瘤患者經(jīng)外周靜脈置入中心靜脈導管(PICC)發(fā)生深靜脈血栓的療效。方法:選擇2013年收治的64例腫瘤PICC置管患者為對照組給予常規(guī)護理,2014年收治的68例為觀察組給予集束化護理。觀察2組患者PICC深靜脈血栓的發(fā)生情況。結(jié)果:(1)穿刺靜脈與血栓發(fā)生的關(guān)系。選擇頭靜脈:觀察組7例(10.3%),對照組28例(43.8%);選擇貴要靜脈:觀察組61例(89.3%),對照組36例(56.2%),差異有統(tǒng)計學意義(P0.01)。頭靜脈置管發(fā)生血栓例數(shù):觀察組1例(14.2%),對照組5例(17.9%);貴要靜脈置管發(fā)生血栓例數(shù):觀察組1例(14.2%),對照組6例(16.7%),差異有統(tǒng)計學意義(P0.05)。(2)置管時間與血栓發(fā)生的關(guān)系。置管2周:觀察組1例(1.5%),對照組8例(12.5%),差異有統(tǒng)計學意義(P0.05);2個月:觀察組3例(4.4%),對照組10例(15.6%),差異有統(tǒng)計學意義(P0.05);全程:觀察組3例(4.4%),對照組12例(18.8%),差異有統(tǒng)計學意義(P0.01)。(3)導管尖端位置與血栓發(fā)生的關(guān)系。一次置管到位:觀察組65例(95.5%),對照組53例(82.8%),差異有統(tǒng)計學意義(P0.05);二次調(diào)整后到位:觀察組67例(98.5%),對照組61例(95.3%),差異無統(tǒng)計學意義(P0.05);導管調(diào)整后血栓發(fā)生例數(shù):觀察組1例(1.5%),對照組8例(12.5%),差異有統(tǒng)計學意義(P0.05)。結(jié)論:采取集束化護理可降低PICC導致的深靜脈血栓的發(fā)生率,值得在臨床上推廣。
[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.
【作者單位】： 蚌埠醫(yī)學院第一附屬醫(yī)院腫瘤內(nèi)科;
【分類號】：R473.73

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