论文部分内容阅读
目的:对≥60岁住院经外周静脉穿刺中心静脉置管（PICC）患者深静脉血栓的危险因素进行分析。方法:选择河南科技大学第一附属医院在2018年9月至2020年9月收治的117例行PICC置管术的老年患者作为研究对象，男76例、女41例，年龄（74.73±4.36）岁。从置管第1天开始进行为期6周的观察，每周进行彩色多普勒超声探查是否有深静脉血栓形成，根据检查结果将患者分为有血栓组（21例）与无血栓组（96例），n χ2检验单因素分析深静脉血栓形成的可能因素，进入多因素logistic回归方程，总结影响老年患者深静脉血栓形成的可能因素。n 结果:深静脉血栓患者中，无症状血栓患者16例（76.19%），有症状血栓患者5例（23.81%）。多因素logistic回归分析显示，年龄（n OR=9.034）、导管尖端位置（n OR=10.496）、导管型号（n OR=3.370）、是否长期卧床（n OR=6.573）、是否有恶性肿瘤（n OR=5.270）、化疗史（n OR=4.655）、置管史（n OR=5.191）、血栓史（n OR=3.168）均为深静脉血栓形成的相关危险因素（均n P<0.05）。n 结论:老年患者PICC置管术后上肢深静脉血栓形成与年龄、导管尖端位置、是否长期卧床、是否有恶性肿瘤、化疗史、置管史、血栓史等因素有关。“,”Objective:To analyze the risk factors of deep venous thrombosis in ≥60 years old inpatients undergoing peripherally inserted central catheter (PICC).Methods:A total of 117 elderly patients who underwent PICC catheterization in The First Affiliated Hospital of Henan University of Science and Technology between September 2018 and September 2020 were selected as the research subjects, including 76 males and 41 females, aged (74.73±4.36) years. The observation period was 6 weeks from the first day of catheterization, and color Doppler ultrasound was performed weekly to detect the presence or absence of deep venous thrombosis. According to the examination results, the patients were divided into a thrombosis group (21 cases) and a non-thrombosis group (96 cases). χn 2 test was used to analyze the possible factors of deep vein thrombosis in elderly patients, and multivariate logistic regression equation was used to summarize the risk factors of deep vein thrombosis in elderly patients.n Results:Among the patients with deep venous thrombosis, there were 16 cases (76.19%) of asymptomatic thrombosis and 5 cases (23.81%) of symptomatic thrombosis. Multivariate logistic regression analysis showed that age (n OR=9.034), location of catheter tip (n OR=10.496), catheter type (n OR=3.370), long-term bed rest (n OR=6.573), malignant tumors (n OR=5.270), history of chemotherapy (n OR=4.655), history of catheterization (n OR=5.191), and history of thrombosis (n OR=3.168) all were related risk factors of deep vein thrombosis (all n P<0.05).n Conclusion:Deep vein thrombosis of upper limb in elderly patients after PICC catheterization is related to factors such as age, catheter tip position, presence or absence of long-term bed rest, presence or absence of malignant tumors, chemotherapy history, catheterization history, and thrombosis history.