文档介绍：摘要置管肿瘤患者前瞻性研究,相关机械性静脉炎的发生率、发生时间、相关机械性静脉炎方法的效果。方法2009年12月-2010年4月,置管患者, 凡符合入选标准者纳入研究对象,从置管开始追踪2周,记录患者的一般情况及置管信息,统计分析机械性静脉炎发生率、发生时间,对危险因素进行单因素及多因素非条件LogistilC回归分析。依据机械性静脉炎危险因素、发生时间有针对性的采取预防措施,选取2010年4月-2010年8月符合入选标准者纳入研究对象,随机分为四组, 从置管开始追踪2周,记录患者的一般情况及置管信息,比较当前常用的4种预防方法(湿热敷、多磺酸粘多糖乳膏、水胶体敷贴、赛肤润)预防机械性静脉炎的效果。%,± ;单因素Logistic回归分析显示置管静脉、置管后导管尖端位置、置管成功次数、送管困难与机械性静脉炎相关;多因素非条件Logistic回归分析显示置管静脉(OR=,95%CI=-)、置管后导管尖端位置(OR=,95%CI=— )、置管成功次数(OR=,95%CI=0。046-)与机械性静脉炎相关。结论(1)置管静脉、置管后导管尖端位置、置管成功次数、送管困难是机械性静脉炎的危险因素;(2)置管后2周内是预防机械性静脉炎的最佳时间;(3)湿热敷是当前常用的4种预防方法中最有效的方法。机械性静脉炎危险因素预防方法肿瘤患者 Abstract Objective To investigate theincidence,average happenjing timeandriskfactorsof mechanical phlebitis associated with peripherally inserted central catheter through the prospective investigation ofcancerpatients .And ToresearchtheeffectiVenCSS of four differentmeasures used catheterization toprevent mechanical phlebitis. Methods From April toDecember,2009,we prospectivelyinvestigated thecanterpatients who had their s in the AffiliatedHospital ofQingdao University Medical collected allthepatients who met theadmission followedup thesepatients for2weeks prospectively andrecordedthe informationwhen mey had s insertion and differences inthethe incidence,average happenjing time and riskfactorswere examined bylogisticregression wetookpreventive measures tothepatients who had s fromMay to August,20 we followed up thesepatients for 2 weeks prospectively and recorded theinformation when theyhad their s insertionand theirgeneral information the purpose isto research theeffectiveness offourdifferent measures used after catheterization toprevent mechanical phlebitis. Results Attheend ofthetwo weeks %patients were foune tohavemechanical phlebitis and theaverage happening timeof themechanical phlebitis related was - siteoftheintub