肺癌患者经外周静脉置入中心静脉导管置入部位医用粘胶相关性皮肤损伤的多因素分析

Multivariate analysis of medical adhesive-related skin injury in peripherally inserted central catheter implanted patients with lung cancer

目的分析肺癌患者经外周静脉置人中心静脉导管（PICC）置入部位医用粘胶相关性皮肤损伤（MARSI）发病情况及相关因素，为优化临床护理方案提供依据。方法2017年1至9月在上海交通大学附属胸科医院经外周静脉置入的中心静脉导管（PICC）门诊开展横断面观察性研究，在PICC护理过程中采集皮肤图片及电子病历进行分类。统计MARSI发病率，分析其相关因素。结果MARSI的总发生率为31．5％（63／200），其中机械性皮肤损伤32例，占总发病类型的50．8％。年龄、糖尿病及过敏史对MARSI的发生有显著影响（P〈0．05）。结论肺癌患者PICC置入部位MARSI相关因素数据分析，为肺癌PICC置管患者MARSI护理方案的研究与制定提供依据。

Objective To analyze prevalence and determinants of medical adhesive-related skin injury （MARSI） in peripherally inserted central catheter implanted patients with lung cancer, to create evidence for im- proved clinical care. Methods A cross-sectional observational study design was adopted. Skin pictures and elec- tronic medical records of 200 lung cancer patients who visited Shanghai Chest Hospital for PICC between June 2017 and September 2017 were analyzed to calculate prevalence of MARSI and identify related factors. Results The prevalence of MARSI was 31.5% （63/200） , and mechanical trauma accounted for 50. 8% of all cases （32/ 63）. Age, diabetes and anaphylaxis were significantly related to MARSI. Conclusion Analysis of MARSI in PICC implanted patients with lung cancer provided evidence for improved clinical care of such patients.