门诊PICC导管并发症的原因分析和预防处理方法

Cause Analysis, Prevention and Treatment Methods of Complications of PICC Catheter in Clinic

目的:分析门诊PICC导管并发症的形成原因及预防处理方法。方法:选择于门诊就诊的736例PICC带管维护患者为研究对象,统计其PICC导管并发症发生率及发生原因。结果:71例患者出现PICC导管并发症,并发症发生率9.65%。发生原因包含血管条件差、病理因素、血管选择不当、导管清洁不当等。结论:PICC导管并发症的形成原因较为复杂,合理选择穿刺血管、加强对高风险患者的重视、做好PICC导管维护、做好置管前后宣教及出院后相关注意事项宣教等措施,均有助于降低患者的并发症发生风险。

Objective:To analyze the causes of PICC catheter complications in outpatient service andthe prevention and treatment methods. Methods: 736 patients with PICC catheterswere selected from the outpatient department of our hospital as the studysubjects, and the incidence and causes of complications of PICC catheters werecalculated. Results: PICC catheter complications occurred in 71 patients with acomplication rate of 9.65%. The causes include poor vascular conditions,pathological factors, improper vascular selection, improper catheter cleaning,etc. Conclusion: The causes of complications of PICC catheterization arecomplicated. Reasonable choice of puncture, strengthening of attention tohigh-risk patients, good maintenance of PICC catheterization, good publicitybefore and after catheterization, and publicity and education of relevantmatters needing attention after discharge are all helpful to reduce the risk ofcomplications of patients.