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赵栩钰1 边春鸽1 钟玲玲2.PICC患者相关性血栓形成的危险因素分析[J].中国现代医生,2021,59(4):94-97
PICC患者相关性血栓形成的危险因素分析
Analysis of the risk factors of PICC-related thrombosis
  
DOI:
中文关键词:  经外周静脉穿刺中心静脉置管  相关性  血栓  危险因素
英文关键词:Central venous catheterization via peripheral venipuncture  Correlation  Thrombosis  Risk factors
基金项目:浙江省医药卫生科技计划项目(2018KY854)
作者单位
赵栩钰1 边春鸽1 钟玲玲2 1.浙江省诸暨市人民医院血液科浙江诸暨 3118002.浙江省立同德医院PICC 专科浙江杭州 310012 
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中文摘要:
      目的探讨PICC 患者相关性血栓形成的危险因素分析。方法 选择2018 年2 月至2019 年12 月在诸暨市人民医院行PICC 的患者413 例为研究对象,统计发生PICC 导管相关性血栓例数,单因素及多因素分析PICC 患者相关性血栓形成的危险因素。结果 ①共纳入413 例PICC 置管患者,23 例发生PICC 导管相关性血栓,发生率为5.57%。②单因素分析结果显示,尖端位置位于T4、T5,APACHEⅡ>26 分、FIB>4.5 g/L、恶性肿瘤患者血栓发生率更高(P<0.05)。③多因素分析结果显示,尖端位置位于T4、T5、APACHEⅡ>26 分、FIB>4.5 g/L、恶性肿瘤是PICC导管相关性血栓形成的独立危险因素(P<0.05)。结论PICC 患者有一定的比例发生导管相关性血栓,尖端位置高、APACHEⅡ分高、FIB 水平高是PICC 导管相关性血栓形成的独立危险因素,在临床工作中应根据情况积极预防。
英文摘要:
      Objective To explore the risk factors of thrombosis associated with PICC.Methods A total of 413 patients who underwent PICC in People′s Hospital from February 2018 to December 2019 were selected as the research object.The number of PICC catheter-related thrombosis cases was counted.Univariate analysis and multivariate analysis were used to analyze the risk factors of PICC-related thrombosis.Results ①A total of 413 patients with PICC catheterization were included,and 23 patients had PICC catheter-related thrombosis,with an incidence of 5.57%.②The incidence of thrombosis was higher in malignant tumors patients with tip position at T4,T5,APACHEⅡ>26 points,FIB>4.5 g/L(P<0.05).③Multivariate analysis results showed that the tip position at T4,T5,APACHE Ⅱ>26 points,FIB>4.5 g/L,and malignant tumor were independent risk factors for PICC catheter-related thrombosis(P<0.05).Conclusion PICC patients have a certain proportion of catheter-related thrombosis.High tip position,high APACHE Ⅱscore,and high FIB level are independent risk factors for PICC catheter-related thrombosis.In clinical work,it should be actively prevented according to the situation.
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