老年白血病患者PICC堵塞的危险因素发生及其预防措施(1)
[摘要] 目的 探讨老年白血病患者PICC堵塞的危险因素发生及其预防措施。方法 方便选取2017年5月—2018年5月该院收治的老年白血病PICC置管患者130例，据临床相关PICC置管堵塞患者资料，经单因素及多因素分析，对老年白血病患者实施PICC置管后导致堵塞发生的危险因素，然后将患者随机分为两组，对照组和研究组，每组65例，对照组常规预防，研究组加强预防，对比两组患者PICC堵塞等并发症的发生率。结果 130例患者中有60例出现PICC堵塞情况，其中21例是由于导管管理不当占35.0%，17例是由于静脉血栓的形成占28.3%，16例是由于脂肪乳剂所致的化合物沉淀占26.7%，6例是由于药物之间存在配伍禁忌占1.0%，多因素分析结果显示，年龄在53岁以上，穿刺次数在5次以上，化疗次数在10次以上，留置时间在10个月以上是导致PICC堵塞的独立危险因素，差异有統计学意义(P<0.05)，研究组患者发生并发症的发生概率为27.7%明显低于对照组64.6%，差异有统计学意义(χ2=4.935，P<0.05)。结论 导致老年白血病患者发生PICC堵塞的原因较多，在对患者进行治疗前应对危险因素进行有效处理，根据患者的具体情况选择合适的导管、穿刺以及封管方式，并给与科学的护理，将置管时间缩短，从而有效降低PICC堵塞的危险因素发生。
[关键词] 老年白血病；PICC堵塞；危险因素；发生；预防措施
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)02(b)-0148-03
Risk Factors and Preventive Measures of PICC Blockage in Elderly Patients with Leukemia
WEN Jiao
Department of Hematology， Second People's Hospital of Guangdong Province， Guangzhou， Guangdong Province， 510317 China
[Abstract] Objective To investigate the risk factors and preventive measures of PICC occlusion in elderly patients with leukemia. Methods A total of 130 patients with senile leukemia PICC catheterization admitted to our hospital from May 2017 to May 2018 were convenient selected and enrolled. According to the clinical data of PICC catheterization， single-factor and multi-factor analysis were used to perform PICC catheterization in elderly patients with leukemia. After the risk factors leading to occlusion， the patients were randomly divided into two groups， the control group and the study group， 65 cases in each group， the control group was routinely prevented， the study group strengthened prevention， and the complication rate of PICC blockage were compared between the two groups. Results Among the 130 patients， 60 cases had PICC blockage， of which 21 cases were due to improper management of catheters， accounting for 35.0%， 17 cases were due to venous thrombosis， accounting for 28.3%， and 16 cases were due to fat emulsions accounting for 26.7%， 6 cases were due to the presence of 1.0% contraindications between drugs. Multivariate analysis showed that the age was above 53 years， the number of punctures was more than 5 times， the number of chemotherapy was more than 10 times， and the retention time was more than 10 months. The independent risk factors for PICC occlusion，the difference was statistically significant(P<0.05)， the incidence of complications in the study group was 27.7% significantly lower than that in the control group 64.6%，the difference was statistically significant(χ2=4.935， P<0.05). Conclusion There are many reasons for PICC occlusion in elderly patients with leukemia. The risk factors should be effectively treated before treatment. The appropriate catheter， puncture and sealing method should be selected according to the patient's specific conditions， and scientific nursing will be given. The catheterization time is shortened， which effectively reduces the risk factors of PICC occlusion., 百拇医药(文娇)
[关键词] 老年白血病；PICC堵塞；危险因素；发生；预防措施
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)02(b)-0148-03
Risk Factors and Preventive Measures of PICC Blockage in Elderly Patients with Leukemia
WEN Jiao
Department of Hematology， Second People's Hospital of Guangdong Province， Guangzhou， Guangdong Province， 510317 China
[Abstract] Objective To investigate the risk factors and preventive measures of PICC occlusion in elderly patients with leukemia. Methods A total of 130 patients with senile leukemia PICC catheterization admitted to our hospital from May 2017 to May 2018 were convenient selected and enrolled. According to the clinical data of PICC catheterization， single-factor and multi-factor analysis were used to perform PICC catheterization in elderly patients with leukemia. After the risk factors leading to occlusion， the patients were randomly divided into two groups， the control group and the study group， 65 cases in each group， the control group was routinely prevented， the study group strengthened prevention， and the complication rate of PICC blockage were compared between the two groups. Results Among the 130 patients， 60 cases had PICC blockage， of which 21 cases were due to improper management of catheters， accounting for 35.0%， 17 cases were due to venous thrombosis， accounting for 28.3%， and 16 cases were due to fat emulsions accounting for 26.7%， 6 cases were due to the presence of 1.0% contraindications between drugs. Multivariate analysis showed that the age was above 53 years， the number of punctures was more than 5 times， the number of chemotherapy was more than 10 times， and the retention time was more than 10 months. The independent risk factors for PICC occlusion，the difference was statistically significant(P<0.05)， the incidence of complications in the study group was 27.7% significantly lower than that in the control group 64.6%，the difference was statistically significant(χ2=4.935， P<0.05). Conclusion There are many reasons for PICC occlusion in elderly patients with leukemia. The risk factors should be effectively treated before treatment. The appropriate catheter， puncture and sealing method should be selected according to the patient's specific conditions， and scientific nursing will be given. The catheterization time is shortened， which effectively reduces the risk factors of PICC occlusion., 百拇医药(文娇)