Complications of PICC in patients with heart failure in different age groups

Central Plains Medical Journal Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1674-4756.2020.04.024

Yanling Gao

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Abstract

Objective To compare the differences in peripherally inserted central catheter (PICC) complications in patients with heart failure in different age groups and to provide strategies for reducing complications of PICC. Methods A total of 136 patients with heart failure who underwent PICC in Zhengzhou Central Hospital Affiliated to Zhengzhou University from January 2017 to December 2018 were enrolled in the study. They were divided into elderly group (≥60 years old, n=79) and non-elderly group (<60 years old, n=57). The differences in the incidence of oozing, catheterization, phlebitis, catheter blockage, infection, and venous thrombosis after PICC were compared. Results The total incidence of complication in the elderly group(12.09%, 15/79) was higher than that in the non-elderly group (6.50%, 5/57), P<0.05. Conclusions The incidence of complications of PICC in elderly patient with heart failure is higher, which suggests that medical staff should strengthen the propaganda of various complications of PICC in elderly patients, adopt different nursing strategies, and effectively reduce the related complications after PICC. Key words: Peripherally inserted central catheter; Heart failure; Complication

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不同年龄组心力衰竭患者PICC的并发症

目的比较不同年龄组心衰患者外周中心导管(PICC)并发症的差异，为减少PICC并发症提供对策。方法选取2017年1月至2018年12月在郑州大学附属郑州市中心医院行PICC的心力衰竭患者136例为研究对象。患者分为老年组(≥60岁，n=79)和非老年组(<60岁，n=57)。比较PICC术后渗液、置管、静脉炎、导管阻塞、感染、静脉血栓形成发生率的差异。结果老年组总并发症发生率(12.09%，15/79)高于非老年组(6.50%，5/57)，P<0.05。结论老年心力衰竭患者PICC并发症发生率较高，提示医护人员应加强对老年患者PICC各种并发症的宣传，采取不同的护理策略，有效减少PICC术后相关并发症的发生。关键词:外周中心导尿管;心力衰竭;并发症

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Central Plains Medical Journal

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