生理节律对PICC置管相关静脉血栓形成的影响

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Abstract ObjectiveTo analyze the influence of physiological rhythm on venous thrombosis associated with peripherally inserted central catheterization (PICC).MethodsFrom January 2015 to June 2016,180 patients were randomly selected from patients with malignant tumor and given PICC catheterization in our hospital and they were divided into two groups according to their venous catheterization time.Under the ultrasound guidance,basilic vein or brachial vein puncture in two groups were conducted after inserting PICC tube.In the observation group (n=90), catheterization was carried out from 15:00 to 17:00,while in the control group,itwas from 8:00 to 10:00.ResultsIn the observation group,the incidence rate of phlebothrombosiswas obviously lower than that in the control group (4.44%vs 18.89%)(P<0.05),and the severity of venous thrombosiswasmilder than that in the control group (gradeⅡ1.11%vs 7.78%,gradeⅢ 0 vs 6.67%) (P<0.05).The incidence rate of complication between two groups had no statistical differenc (P>0.05).ConclusionThe incidence rate of venous thrombosis after PICC catheterization is different in different time period.In comparison of PICC catheterization performed during the low-coagulation time window(around 15:30 in the afternoon)and hypercoagulable time window (from 6:00 of early morning to noon),the former one can decrease the incidence of venous thrombosis.

Key words： Ultrasound guidance Physiological rhythm PICC catheterization Venous thrombosis

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	Articles by authors
	FAN Bin
	MEIGan-hong
	HUANG Fen
	ZHANG Yu-hong

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FAN Bin,MEIGan-hong,HUANG Fen, et al. Influence of physiological rhythm on venous thrombosis associated with PICC catheterization[J]. 中国当代医药, 2016, 23(33): 168-170.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I33/168

[1]	刘志敏，张静，徐立霞，等.老年食管癌患者PICC置管相关性静脉血栓护理干预的研究[J].食管外科电子杂志，2014，2（1）：1-3.
[2]	孔霞，刘圆圆，王秀美.低分子肝素治疗恶性肿瘤相关性血栓的进展[J].中国医药指南，2012，10（27）：61-63.
[3]	何佩仪，卫建宁，杜萍，等.超声引导血管穿刺技术对肿瘤患者PICC置管相关静脉血栓形成的影响[J].中国临床护理，2015，7（2）：106-109.
[4]	陈林，余春华，李俊英.肺癌患者PICC相关静脉血栓的回顾性分析[J].中国肺癌杂志，2015，18（9）：549-553.
[5]	龚兰娟，陈建媚，关雪红，等.超声引导下改良塞丁格技术行PICC置管的临床观察[J].国际护理学杂志，2016，35（1）：1576-1579.
[6]	万永慧，谭飞，陈芊，等.改良Seldinger技术应用于血管超声引导下上臂置入PICC的效果[J].解放军护理杂志，2010，27（10）：1507-1509.
[7]	张娜，梁雪娇.SiteRite5血管超声引导结合微插管鞘技术行上臂中心静脉置管的效果[J].解放军护理杂志，2010，27（6）：812-815.
[8]	吕秋玲.恶性肿瘤化疗患者PICC术后静脉血栓形成的原因分析及其预防对策[J].中国当代医药，2013，20（17）：36-38.
[9]	彭彦，王燕，李峻岭．低分子肝素预防高危深静脉置管的恶性肿瘤患者发生静脉血栓栓塞的效果研究[J].中国全科医学，2012，15（33）：3836-3838.
[10]	王玲.超声引导下Seldinger技术PICC置管在高龄老年患者中的应用效果[J].中国当代医药，2016，23（6）：158-160.
[11]	张京慧，李雪兵，贺连香，等.肺癌合并上腔静脉梗阻患者股静脉留置PICC导管的研究[J].中华护理杂志，2015，50（6）：692-696.
[12]	周薇，何佩仪，刘丽兰，等.集束化管理方案预防PICC导管相关性血流感染的效果分析[J].实用医学杂志，2012，28（17）：2963-2965.
[13]	李全磊，颜美琼，张晓菊，等.PICC超声引导下肘上置管的穿刺置管效果及并发症的系统评价[J].中国循证医学杂志，2013，13（7）：816-826.
[14]	Sharp R，Esterman A，McCutcheon H，et al.The safety and efficacy ofmidlines compared to peripherally inserted central catheters for adult cystic fibrosis patients：a retrospective，observationalstudy[J].Int JNursStud，2014，51（5）：694-702.
[15]	HammesM，DesaiA，PasupnetiS，etal.Centralvenouscatheters：incidence and predictive factors of venous thrombosis[J]. Clin Nephrol，2015，84（1）：21-28.