摘要
外周插入中心静脉导管(Peripherally Inserted Central Catheter, PICC)是现代医疗技术中一类常用辅助方式,可为不同疾病类型患者提供非短期静脉治疗,有助于减少患者静脉穿刺频率,对外周静脉血管产生一定保护作用。PICC所致静脉炎是常见并发症类型,发病原因较为多样化,临床需予以此类患者相应护理措施应对疾病,改善预后。据此,本研究旨在分析PICC所致静脉炎的原因,并探讨该疾病护理方案,为临床制定更为完善的护理措施提供依据。
关键词: 外周插入中心静脉导管;静脉炎;原因;护理现状
Abstract
Peripherally Inserted Central Catheter (PICC) is a commonly used auxiliary method in modern medical technology, providing non-short-term intravenous therapy for patients with various disease types. It helps reduce the frequency of venous punctures and offers certain protective effects on peripheral veins. Venous inflammation caused by PICC is a common complication with diverse etiological factors. Clinical care measures are required to address this condition and improve patient outcomes. Therefore, this study aims to analyze the causes of PICC-induced venous inflammation and explore corresponding nursing protocols, providing a basis for developing more comprehensive clinical care strategies.
Key words: Peripheral insertion of central venous catheter; Phlebitis; Reason; Current status of nursing
参考文献 References
[1] Wu J, Li J, Li H, et al. Comparison of formula-based PICC catheterisation versus common method for the treatment of newborns[J]. Int J Clin Pract. 2021 Jul; 75(7): e14210.
[2] 杨丽娟,徐兵,戴明红,等.危险因素评估下针对性护理干预对新生儿PICC静脉炎预防效果分析[J].蚌埠医学院学报,2023,48(9):1278-1281.
[3] 陈玉红,简黎,张农惠,等.PICC置管术后并发机械性静脉炎的多因素分析及其护理对策[J].当代护士(中旬刊), 2023,30(1):102-106.
[4] 李沛亚,尹晓华,胡梦寒,等.置入中长导管与PICC并发症发生率比较的Meta分析[J].现代医学,2024,52(10): 1490-1498.
[5] Yin YX, Gao W, Feng SY, et al. ECG-guided PICC insertion using a new silicon catheter with a conductive tip: A retrospective clinical study[J]. J Vasc Access. 2022 Jul; 23(4): 567-573.
[6] 胡健,聂凌云,江莹莹,等.PowerPICC导管全程集束化护理管理在神经外科重症监护病房中的应用[J].护理实践与研究,2024,21(1):50-54.
[7] 余圆圆,陈灵菊.短波紫外线治疗仪联合局部湿敷护理在PICC相关性机械性静脉炎患者中的应用研究[J].医疗装备,2024,37(12):145-148.
[8] 杨丽娟,刘丽华,伏蕤,等.PICC置入病人并发机械性静脉炎列线图预测模型的构建[J].护理研究,2021,35(10): 1746-1750.
[9] 林建琴,蒋田华,於晓平,等. 乳腺癌患者经外周静脉置入中心静脉导管维护依从性影响因素及精准护理效果分析[J]. 实用临床医药杂志,2023,27(16):142-148.
[10] 石玥,王红,吴中叶.妇科肿瘤患者行PICC置管并发机械性静脉炎的影响因素及其护理对策[J].中西医结合护理(中英文),2022,8(8):124-126.
[11] 田红梅,李温荣,刘俐惠,等.风险管理联合积极心理护理预防PICC置管患者机械性静脉炎风险的价值[J].中华临床医师杂志(电子版),2022,9(6):593-596.
[12] 刘芳,黄改玲.循证护理在心力衰竭患者PICC置管中的应用及对患者并发静脉血栓的影响[J].血栓与止血学, 2020,26(2):309-311.