Risk factors and nursing strategies for venous thrombosis after PICC placement in cancer patients
肿瘤患者PICC置管后血栓形成的风险因素分析及护理对策

摘要

目的 浅析肿瘤患者经外周静脉置入中心静脉导管（peripherally inserted central catheter, PICC）后静脉血栓形成的因素，并提出相应的预见性护理对策。方法 样本对象为2023年3月至2025年3月期间在本院接受PICC置管治疗的100例肿瘤患者，根据是否发生静脉血栓分为发生组及未发生组，对比两组患者临床资料，分析引发静脉血栓的因素。给予发生组患者穴位按摩以及抬高肢体等护理，分析护理结果。结果 肿瘤患者PICC置管后引发静脉血栓的因素包括年龄、置管时间、促血小板药物使用等；对患者实施预防性护理干预后，能明显降低血栓发生率。结论 引起肿瘤患者PICC置管后出现静脉血栓的因素较多，临床护理中需要加强风险评估、及时指导患者开展锻炼，最大程度降低静脉血栓发生率。

Abstract

Objective To analyze the risk factors for venous thrombosis in cancer patients after peripherally inserted central catheter (PICC) placement and to propose corresponding preventive nursing strategies.
Methods One hundred cancer patients who underwent PICC placement in our hospital from March 2023 to March 2025 were included in the study. They were divided into a thrombosis-prone group and a non-thrombosis group based on whether venous thrombosis occurred. Clinical data of the two groups were compared, and the factors leading to venous thrombosis were analyzed. Patients in the thrombosis-prone group received acupressure massage and limb elevation, and the nursing outcomes were analyzed.
Results Risk factors for venous thrombosis after PICC placement in cancer patients included age, placement time, and use of platelet-promoting drugs. Preventive nursing interventions significantly reduced the incidence of thrombosis.
Conclusion   Many factors contribute to venous thrombosis in cancer patients after PICC placement. Clinical nursing care requires strengthened risk assessment and timely guidance for patients to engage in exercise to minimize the incidence of venous thrombosis.