乳腺癌患者术后PICC置管并发症及其影响因素调查分析

Investigation Analysis on Complications and Influencing Factors of PICC Catheter for Breast Cancer Patients after Operation

目的:探讨乳腺癌患者术后PICC置管的并发症及其影响因素。方法:对420例PICC置管的乳腺癌患者进行回顾性调查,依据PICC置管期间是否发生置管并发症分为并发症组和无并发症组;分析PICC置管并发症发生率及其相关危险因素。结果:乳腺癌患者PICC置管并发症发生率为13. 6%;多因素分析结果显示,PICC置管发生并发症的危险因素包括穿刺方式(OR=5. 736)、合并基础疾病(OR=4. 216)、未使用维护包(OR=3. 246)、置管位置(OR=2. 581)及未规范化护理(OR=2. 206)。结论:乳腺癌患者PICC置管期间并发症发生率较高,应结合以上危险因素,早期采取预防措施,降低并发症发生率。

[Objective] To explore the complications and influencing factors of PICC catheter for breast cancer patients after operation. [Method]420 cases of breast cancer w ith PICC catheter w ere carried out a retrospective survey,and these patients w ere divided into complication group and w ithout complication group according to w hether or not happening complications of PICC catheter. The incidence rate,types and correlated risk factors of PICC catheter w ere analyzed.[Result]The incidence rate of PICC catheter of breast cancer patients was 13. 6%. Multiple factors analysis result show ed that the risk factors of PICC catheter included puncture method（ OR = 5. 736）,combination of basic diseases（ OR = 4. 216）,without use of maintenance package（ OR = 3. 246）,position of tube（ OR = 2. 581） and non-standardized nursing（ OR = 2. 206）. [Conclusion] The incidence rate of complications during PICC catheterization of breast cancer patients is still high. The above risk factors should be considered,and preventive measures should be early adopted to cut dow n the incidence rate of complications.