Analysis of risk factors of peripherally inserted central catheter related venous thrombosis and its nursing care

doi:10.3877/cma.j.issn.1673-9450.2022.06.015

Abstract

Abstract:

The formation of venous thrombosis associated with peripherally inserted central venous catheter (PICC) is related to the factors of catheter placement, selection of catheter vein, factors related to disease, patients′ own factors, vascular endothelial damage and drug factors. By analyzing the above reasons, combined with imaging examination, clinical symptoms and laboratory indicators, diagnosis of venous thrombosis associated PICC can be made. Reasonable selection of catheter at the initial stage of PICC catheterization, comprehensive evaluation of patients, selection of nursing staff with relevant qualifications for catheterization and appropriate limb activities after PICC catheterization can prevent the formation of thrombosis, and provide reference for improving the nursing quality of infusion treatment during PICC retention and ensuring the safety of catheter use.

Key words: Venous thromboembolism, Risk factors, Nursing care, Peripherally inserted central catheter

Qian Wang, Bo Xu. Analysis of risk factors of peripherally inserted central catheter related venous thrombosis and its nursing care[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(06): 545-548.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhssyxfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1673-9450.2022.06.015

https://zhssyxfzz.cma-cmc.com.cn/EN/Y2022/V17/I06/545

References 30

[1]	胡佳丽，项丽婷，戚红萍，等. 肿瘤化疗患者PICC相关性上肢静脉血栓形成时间及其影响因素分析[J]. 中国现代医学杂志，2021, 31(6): 51-57.
[2]	冯月，李俊英. PICC相关性静脉血栓风险评估工具在肿瘤患者中应用的有效性研究[J]. 中国护理管理，2020, 20(8): 1258-1261.
[3]	肖芳，王娜，潘艳华. 肿瘤患者PICC置管术后相关上肢静脉血栓的研究进展[J]. 中华肿瘤防治杂志，2018, 25(SI): 308-312.
[4]	彭星宇，方汉萍. PICC相关性静脉血栓危险因素及预防措施研究进展[J]. 齐鲁护理杂志，2016, 22(3): 54-56.
[5]	乔爱珍，苏迅. 外周中心静脉导管技术与管理[M]. 北京：人民军医出版社，2015: 97.
[6]	李俊英，余春华. 肿瘤患者PICC相关血栓的研究进展[J]. 华西医学，2008, 23(4): 893-894.
[7]	Grove JR, Pevec WC. Venous thrombosis related to peripherally inserted central catheters[J]. J Vasc Interv Radiol, 2000, 11(7): 837-840.
[8]	黄家香，栾顺莲，徐宁. 肿瘤化疗患者PICC相关性深静脉血栓的原因分析[J]. 护理实践与研究，2015, 12(5): 128-129.
[9]	李乾，赵欣，张晓维. 国内成人肿瘤患者PICC相关性血栓发生率的Meta分析[J]. 中华护理杂志，2022, 57(3): 348-355.
[10]	王红莲，程远. 不同置管位置对PICC血栓形成的影响[J]. 护理研究，2016, 30(9): 1104-1105.
[11]	Hao N, Xie X, Zhou Z, et al. Nomogram predicted risk of peripherally inserted central catheter related thrombosis[J]. Sci Rep, 2017, 7(1): 6344.
[12]	张志彬，刘芳. 神经重症患者经外周静脉置入中心静脉导管置管引起局部静脉血栓的研究进展[J]. 解放军护理杂志，2018, 35(23): 54-56.
[13]	袁会军，钱才，黄燕. 高血压与下肢深静脉血栓形成的相关研究[J]. 血栓与止血学，2017, 23(5): 804-806.
[14]	莫春玲，屈盈莹，罗淑娟. 肿瘤患者同时发生PICC导管相关性血栓和血流感染的病例分析[J]. 岭南现代临床外科，2017, 17(2): 221-223.
[15]	Chopra V, Anand S, Hickner A, et al. Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic review and meta-analysis[J]. Lancet, 2013, 382(9889): 311-325.
[16]	朱丽群，庄若，曹松梅，等. PICC相关性血栓风险评估的最佳证据总结[J]. 中华护理杂志，2017, 52(10): 1179-1185.
[17]	Marnejon T, Angelo D, Abu Abdou A, et al. Risk factors for upper extremity venous thrombosis associated with peripherally inserted central venous catheters[J]. Vasc Access, 2012, 13(2): 231-238.
[18]	罗义，许新华，陈丽，等. 肿瘤患者PICC相关静脉血栓诊治进展[J]. 海南医学，2018, 29(12): 1732-1734.
[19]	Dronkers CE, Tan M, Mol GC, et al. Evaluation of the new simple and objective clinical decision rule "I-DVT" in patients with clinically suspected acute deep vein thrombosis[J]. Thromb Res, 2016, 141: 112-118.
[20]	Lindquist CM, Karlicki F, Lawrence P, et al. Utility of balanced steady-state free precession MR venography in the diagnosis of lower extremity deep venous thrombosis[J]. AJR Am J Roentgenol, 2010, 194(5): 1357-1364.
[21]	康军仁，孙文彦. 经外周静脉置入中心静脉导管相关上肢静脉血栓的研究进展[J]. 中华临床营养杂志，2022, 30(4): 249-256.
[22]	李志莲，余永森，杨莉，等. 中心静脉置管术后静脉血栓形成的超声诊断及相关因素分析[J/CD]. 中华诊断学电子杂志，2017, 5(3): 182-185.
[23]	赵宁，张加乐，江婷，等. ICU患者外周静脉置入中心静脉导管相关上肢深静脉血栓形成的危险因素[J]. 中华危重病急救医学，2017, 29(2): 167-171.
[24]	Zhang X, Qi X, De Stefano V, et al. Epidemiology, Risk Factors, and In-Hospital Mortality of Venous Thromboembolism in Liver Cirrhosis: A Single-Center Retrospective Observational Study[J]. Med Sci Monit, 2016, 22: 969-976.
[25]	林丽婵，甘淑贞，欧英慧. 彩色多普勒超声联合D-二聚体检测对恶性肿瘤留置PICC导管患者深静脉血栓的早期诊断与危险因素的护理干预[J]. 护理实践与研究，2019, 16(1): 10-12.
[26]	Infusion Nurses Society. Infusion Nursing Standards of Practice[J]. J Infus Nur, 2016, 29(1 Suppl): S1-92.
[27]	陈璐，谢新芳，沈洪，等. 经外周中心静脉置管患者发生相关性上肢静脉血栓风险评估表的研制[J]. 解放军护理杂志，2016, 33(14): 10-11.
[28]	张建薇，傅荣. 握拳运动在预防老年PICC置管患者上肢深静脉血栓中的应用效果[J]. 中华现代护理杂志，2018, 24(4): 440-442.
[29]	张洁，李爱敏，常志伟，等. 微波热疗联合置管肢体运动预防肿瘤患者PICC置管后静脉血栓[J]. 护理学杂志，2019, 34(4): 67-68.
[30]	解艳丽，高明杰，赵敏. 1例长期卧床老年患者PICC并发静脉血栓的护理[J]. 护理实践与研究，2017, 14(3): 153-155.

Please choose a citation manager

Content to export