临床与病理杂志2017，Vol.37Issue(3)：505-509,5.DOI:10.3978/j.issn.2095-6959.2017.03.010
原发性肝癌患者治疗期经外周静脉穿刺置入中心静脉导管堵管的相关因素与护理对策
Related factors and nursing countermeasures of peripherally inserted central catheter blocking in patients with primary liver cancer during treatment period
摘要
Abstract
Objective: To study the causes of peripherally inserted central catheter (PICC) tube plugging during the therapy of primary hepatic carcinoma, meanwhile, to put forward some effective nursing methods. Methods: We selected 1026 patients with primary hepatic carcinoma dating from Mar. 1st, 2010 to Dec. 1st, 2015, recorded their basic information such as gender, age, family history, smoking history and underlying diseases. Patients were closely observed during the course of PICC, and the puncture place, blood reflux, tube washing, tube sealing, displacement or folding of the catheter were recorded. The relative factors of PICC blocking in patients withprimary liver cancer during treatment period were retrospectively analysed. Results: Twenty-six cases of PICC tube plugging, accounting for 2.6%; some dangerous causes: age (OR =1.213, P<0.05), underlying diseases (OR =1.978, P<0.05), blood reflux (OR =2.237, P<0.05), tube problems (OR =2.161, P<0.05), mechanical causes (OR =2.643, P<0.05). Conclusion: The causes of PICC tube plugging during the therapy of Primary Hepatic Carcinoma are relevant to the age, underlying diseases, blood reflux, tube problems and mechanical causes. Therefore, we should pay great attention to the maintenance of the catheters, wash and seal the tube timely to avoid the blood reflux and mitigate the effect of the plugging.关键词
原发性肝癌/经外周静脉穿刺置入中心静脉导管/堵管/相关因素Key words
primary liver cancer/peripherally inserted central catheter/blocking pipe/related factors引用本文复制引用
张春晓,赵世娣,任国琴,戚晓梅..原发性肝癌患者治疗期经外周静脉穿刺置入中心静脉导管堵管的相关因素与护理对策[J].临床与病理杂志,2017,37(3):505-509,5.基金项目
市基层适宜卫生技术基金(T201521).This work was supported by Municipal Healthcare Technology Fund Project for Community Hospitals, P. R. China (T201521). （T201521）
