非小细胞肺癌患者经外周静脉置入中心静脉导管并发静脉血栓的护理对策

Nursing Strategy of Patients with Non-small Cell Lung Cancer complicated with Venous Thrombosis by placing Central Venous Catheter through Peripheral vein

目的探讨非小细胞肺癌患者经外周静脉置入中心静脉导管(PICC)并发静脉血栓的护理对策。方法对我院在2016年1月至2017年5月期间收治的PICC置管化疗的72例非小细胞肺癌患者的临床资料纳入研究对象,随机分为观察组(36例)与对照组(36例),对照组患者行常规护理,观察组患者经对策分析后行特殊护理,分别记录两组患者护理前后的凝血指标:凝血酶原时间(PT)及活化部分凝血活酶时间(a PTT)及凝血酶时间(TT)、纤维蛋白原(Fbg)及血栓发生率。结果对照组患者血栓发生率为27.78%(10/36)明显高于观察组%5.56(2/36)(P<0.05)。治疗前,凝血功能无明显差异(P>0.05);治疗后,两组均有改善,观察组明显优于对照组(P<0.05)。结论特殊护理可使PICC置管并发的血栓发生率降低。

Objective To investigate the risk factors of peripheral Central venous catheterization（ PICC） complicated with venous thrombosis in patients with non-small cell lung cancer（ NSCLC） and nursing strategies. Methods The clinical data of 72 patients with non-small cell lung cancer（ NSCLC） treated in our hospital from January 2016 to May 2017 were included in the study. The patients in the control group were given routine nursing,and the patients in the observation group were given special nursing after countermeasure analysis. The coagulation indexes before and after nursing care were recorded： prothrombin time（ PT）,activated partial thromboplastin time（ a PTT） and thrombin time（ TT）. Results The incidence of fibrinogen fibrinogen（ Fbg） and thrombus was 27. 78%（ 10/36） in the control group. was significantly higher than that in the observation group 5. 56%（ 2/36）（ P〈0. 05）. Before treatment,there was no significant difference in coagulation function（ P〉0. 05）. After treatment,both groups were improved,and the observation group was superior to the control group（ P〈0. 05）. Conclusion Special nursing can reduce the incidence of thrombus in PICC