癌症患者外周静脉穿刺中心静脉置管应用中导致皮肤损伤的因素分析
Analysis of Factors Causing Skin Damage in the Application of Peripherally Inserted Central Catheter in Cancer Patients.
作者信息
Tian Luan, Yin Xinxin, Zhu Yuxin, Zhang Xin, Zhang Congcong
机构信息
Department of Digestive, Shijiazhuang People's Hospital, Shijiazhuang, China.
Department of Central Venous Catheter Clinic, Shijiazhuang People's Hospital, Shijiazhuang, China.
出版信息
J Oncol. 2021 Mar 16;2021:6628473. doi: 10.1155/2021/6628473. eCollection 2021.
OBJECTIVE
To investigate the related factors of skin damage caused by peripherally inserted central catheter (PICC) in cancer patients.
METHODS
It was a retrospective analysis of 202 cancer patients admitted to our hospital from February 2014 to July 2019. 50 cases of PICC-related skin damage and 152 cases of non-skin damage were studied. In addition, multivariate logistic regression analysis was used to determine independent risk factors for PICC-related skin damage, including cancer patients with catheter-related skin damage and patients without skin damage.
RESULTS
50 patients with PICC skin damage (19 males and 31 females) and 152 patients without skin damage (62 males and 90 females) were retrospectively analyzed. The skin damage rate was 24.8%. The analysis of variance results showed that many factors are related to PICC catheter-related skin damage, including hormones ( / = 4.468, < 0.05), body mass index (BMI) ( / = -2.443, < 0.05), days with tube ( = 26.230, < 0.05), chemotherapy cycle ( / = 25.638, < 0.05), and self-care ability ( / = -1.968, < 0.05). Logistic regression analysis showed that hormones (odds ratio (OR) = 3.896, =0.045), BMI (OR = 1.129, =0.017), days with tube (OR = 0.419, =0.013), and chemotherapy cycle (OR = 3.302, =0.028) are independent factors affecting PICC-related skin damage.
CONCLUSION
The independent influencing factors of skin damage during PICC catheterization are hormones, BMI, number of days with tube, and chemotherapy cycle.
目的
探讨癌症患者经外周静脉穿刺中心静脉置管（PICC）致皮肤损伤的相关因素。
方法
对2014年2月至2019年7月我院收治的202例癌症患者进行回顾性分析。研究了50例PICC相关皮肤损伤患者和152例无皮肤损伤患者。此外，采用多因素logistic回归分析确定PICC相关皮肤损伤的独立危险因素，包括有导管相关皮肤损伤的癌症患者和无皮肤损伤的患者。
结果
回顾性分析50例PICC皮肤损伤患者（男19例，女31例）和152例无皮肤损伤患者（男62例，女90例）。皮肤损伤率为24.8%。方差分析结果显示，多种因素与PICC导管相关皮肤损伤有关，包括激素（F = 4.468，P < 0.05）、体重指数（BMI）（F = -2.443，P < 0.05）、置管天数（F = 26.230，P < 0.05）、化疗周期（F = 25.638，P < 0.05）和自我护理能力（F = -1.968，P < 0.05）。logistic回归分析显示，激素（比值比（OR）= 3.896，P = 0.045）、BMI（OR = 1.129，P = 0.017）、置管天数（OR = 0.419，P = 0.013）和化疗周期（OR = 3.302，P = 0.028）是影响PICC相关皮肤损伤的独立因素。
结论
PICC置管期间皮肤损伤的独立影响因素为激素、BMI、置管天数和化疗周期。
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