摘要目的 探讨留置PICC导致静脉炎发生的主要危险因素,为临床医护人员能够采取有针对性的预防和护理措施提供科学依据.方法 收集同期住院治疗,初次使用PICC导管病人的一般资料和实验室检查指标,进行统计分析.结果 单因素分析结果表明性别、年龄、穿刺静脉、穿刺次数、活动度、导管预处理血糖水平与静脉炎的发生存在相关关系；患者使用化疗药、白细胞计数、血小板计数则与静脉炎的发生无关.多因素分析结果显示:贵要静脉、导管预处理是静脉炎发生的保护因素,反复多次插管、年龄是静脉炎发生的危险因素.结论 PICC患者的护理应高度重视这些因素,密切关注患者的身心问题,以采取相应的护理措施,做好PICC导管的维护,减少静脉炎的发生.

abstractsObjective To discuss the primary hazard factors of the phlebitis occurrence caused by PICC,provide the scientific evidences for the nursing staff adopting target - oriented prevention and the nursing measure.Methods The patient's common material whoused PICC the first time and laboratory examination indexes were collected and analyzed statistically.Results The single factor analysis result indicated there were some correlations between phlebitis's occurrence and the sex,the age,the puncture vein,the puncture number of times,the activity,the catheter pretreatment,blood sugar level; Using the chemotherapy medicine,the white blood cell count,the platelet count had nothing to do with phlebitis's occurrence.The multi -factor analysis result showed:Wants the vein,the catheter pretreatment was the protection factors,inserting the catheter repeatedly more time and age were the hazard factors which could cause the phlebitis' occurrence.Conclusions These factors should be paid close attention to in nursing work,the corresponding nursing measures should be taken to protect the PICC and reduce phlebitis's occurrence.