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find Keyword "中心静脉" 69 results
  • A Study on Catheter Related Infection in Cancer Patient Treated with Central Venous Catheterization

    Objective To study the catheter-related infection (CRI) in cancer patients treated with central venous catheterization. Methods A prospective study with 196 cancer patients was conducted to analyze the types of catheter-related infection and pathogen, as well as the relationship between CRI and the following factors: insert location, gender, age, remained time, or bone marrow suppression. Results Of the total 196 cases, 16 cases were diagnosed as CRI and the CRI rate was 8.2%. The types of CRI were five cases of pathogen colonization, four cases of insert location infection and seven cases of catheter-related bloodstream infection. Of the total 244 specimens, 20 were positive including 7 pathogenic bacteria in either Gram positive or Gram negative types, the dominating pathogens were staphylococcus aureus, staphylococcus epidermidis, acinetobacter baumannii and klebsiella pneumoniae. CRI was related to both insert location and age which were both the independent risk factors. Conclusion The concept of prevention should be set up, and the comprehensive measures should be taken to reduce CRI, such as choosing an appropriate insert location and complying with a strict catheter insert standard.

    Release date:2016-09-07 11:00 Export PDF Favorites Scan
  • 胃癌患者中心静脉导管的护理改进

    【摘要】目的探讨改进胃癌患者中心静脉导管护理的可行性。方法从2009年开始对胃癌患者中心静脉导管的护理流程、导管附件、贴膜及贴膜更换时间等方面进行了改进。结果180例胃癌患者中心静脉导管留置期间出现并发症明显减少,特别在导管相关性感染方面取得很好效果,无大批感染。结论改进胃癌患者中心静脉导管护理可减少护理过程中的并发症。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • Risk factors of central line-associated bloodstream infection

    Objective To investigate the risk factors of central line-associated bloodstream infection (CLABSI) and provide clinical guidance for reducing the incidence of CLABSI. Methods The clinical data of patients with central venous catheter catheterization in Sichuan Provincial People’s Hospital between January 2018 and December 2021 were retrospectively collected. According to whether CLABSI occurred, the patients were divided into CLABSI group and non-CLABSI group. The data of patients were analyzed and the risk factors of CLABIS were discussed. Results A total of 43 987 patients were included. Among them, there were 63 cases in the CLABSI group and 43924 cases in the non-CLABSI group. The incidence of CLABSI was 0.18/1 000 catheter days. Multivariate logistic regression analysis showed that admission to intensive care unit (ICU) [odds ratio (OR)=74.054, 95% confidence interval (CI) (22.661, 242.005), P<0.001], hemodialysis [OR=4.531, 95%CI (1.899, 10.809), P=0.001] and indwelling catheter days [OR=1.017, 95%CI (1.005, 1.029), P=0.005] were independent risk factors for CLABSI. A total of 63 strains of pathogenic bacteria were isolated from the 63 patients with CLABSI. Among them, 28 strains of Gram-positive bacteria, 25 strains of Gram-negative bacteria and 10 strains of Candida. Conclusions Admission to ICU, hemodialysis and long-term indwelling catheter are independent risk factors for CLABSI. The prevention and control measures of CLABSI should be strictly implemented for such patients to reduce the risk of infection.

    Release date:2023-03-17 09:43 Export PDF Favorites Scan
  • 特定电磁波照射对预防老年患者经外周静脉置入中心静脉导管后机械性静脉炎的效果

    目的 观察使用特定电磁波(TDP)照射对预防老年患者经外周静脉置入中心静脉导管(PICC)后机械性静脉炎的效果。 方法 2010年1月-12月将120例行PICC的肿瘤科老年患者根据登记号分为观察组和对照组,每组60例。对照组进行PICC常规护理;观察组在PICC常规护理基础上于置管24 h后加用TDP治疗,2次/d,20~30 min/次,连续使用7 d。观察两组机械性静脉炎的发生情况。 结果 观察组机械性静脉炎发生率8.33%,对照组23.33%,差异有统计学意义(P<0.001)。 结论 应用TDP能有效预防和减少PICC所致机械性静脉炎的发生。

    Release date:2016-09-08 09:14 Export PDF Favorites Scan
  • Research status of peripherally inserted central catheter: a bibliometric analysis based on Foreign Medical Retrieval System

    ObjectiveTo explore the trend and hotspots of research in the field of peripherally inserted central catheter (PICC), so as to provide a reference for clinical nursing and nursing research in the field of vascular access in China.MethodsAll PICC-related articles from 1806 to November 22nd, 2018 were searched in the Foreign Medical Retrieval System. The publication amount, year of publication, language, country, journals and impact factor, high-yield authors and high-frequent medical subject headings (MeSH) of the PICC-related articles were analyzed by using frequency, cumulative frequency, and constituent ratio.ResultsA total of 1 550 articles were included. They were published in 586 journals, of which 393 were included in Science Citation Index. English was the dominant publication language, and the top high-yield country was the United States. The top 16 high-yield authors published 199 articles, the top 3 of whom all had published co-operative papers, ranging from 1 article to 19 articles. The top 3 high-frequent MeSHs were “Catheters, Indwelling” “Catheterization, Central Venous” “Central Venous Catheter”.ConclusionsPICC has become a hotspot in clinical research, and the publication amount of relative literature has increased rapidly since 2000. Chinese scholars should improve their English and carry out multi-center cooperative research to improve the quality of PICC-related literature.

    Release date:2021-09-24 01:23 Export PDF Favorites Scan
  • 应用中心静脉导管对心脏体外循环术后胸腔积液患者的引流护理

    目的探讨中心静脉导管应用于心脏体外循环术后胸腔积液患者的引流效果及护理要点。 方法对2013年3月-12月行心脏体外循环术后胸腔中量积液的179例患者,在B型超声引导下置入中心静脉导管且成功引流的方法及护理要点进行回顾分析。 结果本组患者均一次性置管成功,置管操作时间(7.2±3.5)min,导管留置时间2~6 d。置管引流中,发生肋间血管损伤出血2例,胸膜刺激征2例,导管阻塞1例,经及时的对症处置,相关并发症得以控制。 结论应用中心静脉导管治疗心脏体外循环术后胸腔积液其效果满意,切实有效的护理措施是保持引流通畅、防止并发症发生的关键。

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  • 乳腺癌患者患侧上肢经外周静脉置入中心静脉导管的护理

    目的 探讨乳腺癌患者患侧上肢置入中心静脉导管的护理方法。 方法 2009年2月-2012年7月,对28例健侧血管条件差的乳腺癌患者患侧上肢贵要静脉置入中心静脉导管,其中4例患者先行术前新辅助化学疗法(化疗),术后再继续化疗;其余24例行术后化疗。 结果 1例因发生血栓性静脉炎而拔出导管,其余均按计划顺利完成化疗。 结论 乳腺癌患者健侧静脉条件较差。术后若患侧上肢无水肿,只要置管操作娴熟,严格无菌技术,规范维护导管技术,从患侧上肢贵要静脉置入中心静脉导管,并发症发生率较低,对临床有一定的指导意义。

    Release date:2016-09-07 02:37 Export PDF Favorites Scan
  • Investigation on Knowledge of Peripheral Inserted Central Venous Catheter in Oncology Medical Staff Members of Class-Ⅲ Hospitals in Chengdu City

    目的 了解成都市肿瘤科医护人员经外周静脉留置中心静脉导管术(PICC)认知现状,为今后开展PICC相关知识培训提供科学依据。 方法 2009年12月-2010年1月采用自行设计的问卷对成都市5家三甲医院的肿瘤科医护人员309名(医生134名,护士175名)进行PICC认知态度现状调查。 结果 成都市三甲医院肿瘤科医护人员PICC认知呈中等偏低的水平,护士PICC知识的掌握高于医生(P<0.05),护士PICC态度得分优于医生(P<0.05)。94.84%的医护人员知道PICC技术;只有8.38%的肿瘤科医护人员接受过PICC专业培训。不同文化程度、年龄、工龄、职业与PICC认知之间的差异存在统计学意义(P<0.05)。 结论 三甲医院肿瘤科医护人员对PICC技术有一定的了解,但总体认知仍有待提高,需加强PICC相关知识培训,进一步提高医护人员PICC认知水平,以利于肿瘤专科开展PICC技术,促进肿瘤护理的专业化发展。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • 超声技术联合经外周静脉置入中心静脉导管支撑导丝头端退出法在导管多次异位颈内静脉复位中的应用

    目的探讨经外周静脉置入中心静脉导管(PICC)置管时导管头端多次异位到颈内静脉时的有效复位方法。 方法收集2014年3月-12月在血管超声引导下行PICC置管时,导管头端异位到颈内静脉3次以上的患者17例,对其首先按常规复位法复位3次,仍不能成功复位,则采用支撑导丝头端退出法,以利用血液流向和重力作用,将异位的导管调整至正常位置。 结果17例患者先采用常规复位法复位3次,均不成功。改用支撑导丝头端退出法进行复位,一次复位成功16例,成功率为94.11%;二次复位成功率达100%。 结论PICC置管联合血管超声,能及时发现导管是否异位颈内静脉,采用常规复位方法3次,均不能成功复位时,采用支撑导丝头端退出法,可有效纠正导管头端异位,提高置管成功率,减少反复送管所致静脉并发症。

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • 影响重症急性胰腺炎中心静脉压监测结果的相关因素及护理干预

    【摘要】 目的 分析影响重症急性胰腺炎中心静脉压监测结果的相关因素,并探讨其护理干预方法。 方法 分析2009年1月-2010年1月156例重症急性胰腺炎患者中心静脉压监测结果与病情的吻合情况,了解其相关影响因素。 结果 共监测2 478例次,中心静脉压符合病情者2014例次,占81.27%,不符合病情者464例次,占18.73%,其中护理人员因素133例次(5.37%),测压装置因素130例次(5.25%),患者病情因素201例次(8.11%)。 结论 重症急性胰腺炎中心静脉压监测结果受多种因素影响,通过护理干预可减少对监测结果的影响,从而为分析、判断病情提供准确的参考依据。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
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