经外周静脉置入中心静脉导管在高龄肿瘤患者中的应用

Application of peripherally inserted central catheter in 164 cases of old patients with tumor

目的探讨经外周静脉置人中心静脉导管（PICC）在高龄肿瘤患者中的应用及非计划性拔管（UEX）的相关因素。方法回顾性分析我院导管室2011年1月至2012年6月行PICC的高龄肿瘤患者164例的临床资料，分析置管成功率、并发症情况及带管时间，对UEX相关因素进行Logistic回归分析。结果全部患者一次性置管成功142例（86．6％），出现并发症30例（18．3％）；带管时间12～176d，平均73d；置管前宣教、定期回访、大学及以上学历、房颤史与UEX相关（P〈0．05），其中置管前宣教、定期回访、大学及以上学历是保护性因素（OR〈1．000），房颤史为危险因素（OR〉1．000）。结论高龄肿瘤患者实施PICC安全可行，加强置管前宣教及定期回访可减少UEX。

Objective To investigate the feasibility of application of peripherally inserted central catheter in old patients with tumor, and analyze the relevant factors of UEX. Methods Clinical data of 164 old patients with tumor from January 2011 to June 2012 in conduit room of our hospital were analyzed retrospectively. Catheter success rate, complications situation and the time of retained catheter were analyzed. Regression analysis was used to analyze the relevant factors of UEX. Results A total of 142 cases （86. 6% ） were applied successfully, 30 cases （18.3%） of complications were found; retained catheter time were 12 - 176 days, the average time was 73 days. Education before the catheterization, regular visit, bachelors degree or above, history of atrial fibrillation were found had the correlation with UEX （ P 〈 0. 05 ） ; education before the catheterization, regular visit, bachelors degree or above were the protective factors （ OR 〈 1. 000 ）, history of atrial fibrillation was the risk factor （ OR 〉 1. 000） . Conclusions Application of PICC is safe and feasible, it is worthy of clinical application.