在肠道衰竭患者中用导线替换中央静脉导管的有用性:单中心研究
Tsuyoshi Sakurai1, Masatoshi Hashimoto1, Hironori Kudo1
1Department of Pediatric Surgery, Tohoku University Hospital, Sendai, 980-8574, Japan.
Pediatric surgery international
|August 15, 2024
概括
在肠道衰竭患者中,用于中央静脉导管 (CVC) 的导线替换 (GWR) 方法是有效和安全的. 与传统方法相比,这种技术的成功率很高,并降低了感染风险.
科学领域:
- 医疗器械 医疗器械
- 胃肠病学 胃肠病学
- 血管接入 血管接入
背景情况:
- 患有肠衰竭 (IF) 的患者依靠长期的中央静脉导管 (CVC) 进行腹腔营养.
- CVC经常需要更换,这给患者管理带来了挑战.
研究的目的:
- 评估指导线替换 (GWR) 方法在FI患者中进行心血管替换的有效性和有效性.
- 为了将GWR与CVC交易所的初级配置方法进行比较.
主要方法:
- 使用GWR方法 (2013-2023) 进行CVC替换的108名FI患者的回顾性审查.
- 在同一时期,GWR与初级安置 (通过静脉穿刺插入新的导管) 的比较.
- 对导管存活率,第一次感染的时间和感染率的分析.
主要成果:
- 在GWR方法的成功率高达94.4%,并发症最小.
- 在GWR和初级安置之间没有观察到导管存活时间的显著差异.
- 通过GWR方法,第一个感染的时间明显更长 (p=0.001).
结论:
- 在IF患者中,GWR手术是一种稳定且易于执行的CVC替代方法.
- GWR的成功率很高,并且不会增加导管更换频率或感染率.
- 这种方法提供了一个安全有效的替代方案,用于管理需要长期关节营养的患者的CVC.
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