【摘要】 目的调查分析肿瘤内科浅静脉留置时间及并发症的影响因素。方法选择肿瘤内科浅静脉留置590例次,分析肿瘤内科浅静脉留置时间及并发症情况,留置时间的影响因素,并发症与影响因素的相关性。结果 590例次外周静脉导管平均留置时间为(43.51±30.91)h,最长留置时间为175 h,最短留置时间为2 h。出现并发症者461例次(78.1%)。Logistic回归分析显示,是否使用高渗性液体、每日输液时间、年龄、化疗周期是留置时间的影响因素(P<0.05)。Spearman相关分析显示,导管内血栓/堵管与留置时间、使用高渗液体、使用非精密输液器相关(r=0.561、0.603、0.584, P<0.05);静脉外渗与留置时间、使用非精密输液器相关(r=0.642、0.655, P<0.05);外周静脉炎与使用高渗液体、使用非精密输液器、每日输液时间、女性相关(r=0.631、0.580、0.604、0.571, P<0.05)。结论肿瘤内科浅静脉留置时间及并发症均与使用高渗性液体有关,外周输液时间>10 h,建议选择中心静脉导管。同时,使用精密过滤输液器不能延长留置时间但可减少并发症的发生,女性及老年患者建议使用。更多还原

【Abstract】 Objective To investigate and analyze the superficial vein indwelling time and influencing factors of complications in Oncology Department. Methods 590 cases of superficial vein indwelling in Oncology Department were selected as the study subjects. Analysis was made on superficial vein indwelling time, occurrence of complications, influencing factors of indwelling time, and correlation between complications and influencing factors. Results The average indwelling time of peripheral venous catheters in 590 cases was(43.51±30.91) h, the longest indwelling time was 175 h, and the shortest indwelling time was 2 h. Complications occurred in 461 cases(78.1%). Logistic regression analysis showed that whether to use hypertonic fluid, daily infusion time, age, and chemotherapy cycle were the influencing factors of indwelling time(P<0.05). Spearman correlation analysis showed that thrombosis/blockage in the catheter was related to indwelling time, use of hypertonic fluid, and use of non-precision infusion set(r=0.561, 0.603, 0.584; P<0.05); intravenous extravasation was correlated to indwelling time and use of non-precision infusion set(r=0.642, 0.655; P<0.05); peripheral phlebitis was related to the use of hypertonic fluids, the use of non-precision infusion sets, daily infusion time, and gender(female)(r=0.631, 0.580, 0.604, 0.571; P<0.05). Conclusion The superficial vein indwelling time and complication in Oncology Department are both related to the use of hypertonic fluid. If peripheral infusion time>10 h, it is suggested to choose central venous catheter. At the same time, the use of precision infusion sets cannot prolong the indwelling time but can reduce the occurrence of complication, which is recommended for female and elderly patients.更多还原