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目的探讨肿瘤患者经外周静脉穿刺中心静脉置管并发症的相关危险因素。方法选取2013年6月至2015年6月间收治的154例接受PICC导管治疗的肿瘤患者,回顾性分析患者的临床资料,分析置管并发症的发生率及其影响因素。结果 154例肿瘤患者中,153例患者置管成功。成功患者中,24例发生置管相关并发症。单因素分析结果显示,置管静脉位置、纤维蛋白原水平、白细胞计数、带管出院和出院带管时间过长是导致并发症发生的危险因素(均P<0.05)。多因素分析结果显示,置管静脉位置、带管出院和出院带管时间过长是导致并发症发生的独立危险因素(均P<0.05)。结论优先选择贵要静脉和缩短出院置管时间是降低肿瘤患者置管并发症发生的有效方法。
Objective To investigate the risk factors associated with catheterization of central venous catheter by peripheral venous puncture in patients with cancer. Methods A total of 154 patients with PICC who underwent PICC between June 2013 and June 2015 were retrospectively analyzed. The incidence of catheter complications and its influencing factors were analyzed. Results Of 154 patients with tumor, 153 patients were successfully catheterized. Among the successful patients, 24 had catheter-related complications. Univariate analysis showed that venous catheter placement, fibrinogen level, white blood cell count, prolonged discharge from hospital and discharge from hospital were the risk factors for complication (all P <0.05). Multivariate analysis showed that placement of venous catheters, prolonged discharge and discharge of the tube were independent risk factors for complication (all P <0.05). Conclusion Preferential choice of your venous vein and shortening the discharge time of catheterization are effective methods to reduce the incidence of catheter complications in cancer patients.