导管类型对外周静脉输血营养期间发生血栓炎的影响
M Madan1, D J Alexander, M J McMahon
1Department of Surgery, General Infirmary, Leeds.
Lancet (London, England)
|January 11, 1992
概括
使用细孔导管用于外周静脉输血养,与特龙头相比,显著降低了血栓塞炎的风险. 这使得通过外围静脉获得更安全,营养充足的肠外营养.
科学领域:
- 医学科学 医学科学 医学科学
- 临床营养学 临床营养学
- 血管接入装置 血管接入装置
背景情况:
- 血栓炎是外周静脉输血养的常见并发症.
- 目前缓解血栓炎的策略包括改变营养溶液的度.
- 输送系统在血小板炎发展中的作用需要进一步研究.
研究的目的:
- 为了比较细孔导管和外围静脉注射养的特龙管之间的血栓炎发病率.
- 评估输送系统对血栓炎发作的影响.
- 确定外围静脉养是否是中央静脉养的可行替代方案.
主要方法:
- 进行了精细孔导管与短型泰龙导管的随机比较.
- 一种标准的高度营养溶液 (1250 mOsmol/kg) 被外周给药.
- 27名患者通过导管进行输液,23名患者通过特龙管进行输液.
主要成果:
- 血栓炎发生在7%的使用导管的患者中,而使用特龙导管的患者中占100%.
- 导管通透的中位持续时间在导管 (128.5小时) 中显著较长,而不是在德导管 (40小时).
- 当使用超细孔导管用于外围输送高度营养溶液时,血栓炎的风险很低.
结论:
- 细孔导管在外周静脉输血养期间预防血栓炎方面优于特管.
- 通过使用适当的输送系统,用高度溶液进行外周静脉输送是可行的和安全的.
- 这种方法可能会扩大对腹腔营养的外周静脉的使用,改善患者的护理.
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