摘要
目的分析老年肿瘤患者经外周静脉置入中心静脉导管(PICC)置管后发生血栓的原因及对策。方法选定广西医科大学第一附属医院2022年1~12月收治的150例PICC置管的老年肿瘤患者,根据是否发生血栓分组,将55例发生血栓的患者设为血栓组,95例未发生血栓的患者设为正常组,Logistic回归分析血栓发生的危险因素,并提出针对性的干预对策。结果糖尿病、高血压、既往血栓史、使用抗凝剂、血小板数量增多、营养不良、PICC置管前D-D、PICC置入时穿刺次数、导管管径是诱发血栓的危险因素(P<0.05)。结论老年肿瘤患者PICC置管后血栓的发生与糖尿病、高血压、既往血栓史、使用抗凝剂、血小板数量增多、营养不良、PICC置管前D-D、PICC置入时穿刺次数、导管管径等因素有关,应当引起临床重视,及早给予针对性治疗。
Objective To analyze the causes of thrombosis in elderly cancer patients after intubating the peripherally inserted central catheter(PICC),and the corresponding interventions.Methods A total of 150 elderly cancer patients with PICC catheterization admitted to the Department of Hematology,the First Affiliated Hospital of Guangxi Medical University from January 2022 to December 2022 were selected.They were divided into thrombosis group(n=55)and non-thrombosis group(n=95).Risk factors for thrombosis in elderly cancer patients with PICC catheterization were analyzed by the logistic regression analysis,and corresponding interventions were proposed.Results Diabetes mellitus,hypertension,history of thrombosis,use of anticoagulants,increased platelet count,malnutrition,D-dimer(D-D)level before PICC catheterization,times of puncture for PICC catheterization and catheter diameter were risk factors for thrombosis in elderly cancer patients after PICC catheterization(P<0.05).Conclusion The occurrence of thrombosis after PICC catheterization in elderly cancer patients is correlated with diabetes,hypertension,history of thrombosis,use of anticoagulants,increased platelet count,malnutrition,D-D level before PICC catheterization,times of puncture for PICC catheterization and catheter diameter.These risk factors should be highly concerned,thus giving targeted therapy as soon as possible.
作者
庹印芬
赵慧函
谭艳梅
覃先丽
黄慧程
黄英姑
TUO Yinfen;ZHAO Huihan;TAN Yanmei(Department of Hematology,the First Affiliated Hospital of Guangxi Medical University,Guangxi,Nanning 530021,China;不详)
出处
《河北医药》
CAS
2023年第23期3610-3612,3616,共4页
Hebei Medical Journal
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-A20220452)。
