中线导管在住院病区患者静脉治疗中的应用现状

doi:10.3760/cma.j.cn441417-20241008-09030

摘要/Abstract

摘要： 通过对中线导管的定义、置入方式、尖端位置、适应证、特殊人群应用以及并发症进行综述，为中线导管的置入及临床使用提供帮助。

关键词:

">综述 font-family:NEU-BZ, "> , font-family:方正书宋_GBK, ">适应证, font-family:NEU-BZ, "> , , font-family:方正书宋_GBK, ">中线导管, font-family:NEU-BZ, "> , , font-family:方正书宋_GBK, ">尖端位置, font-family:NEU-BZ, "> , , font-family:方正书宋_GBK, ">静脉治疗, font-family:NEU-BZ, "> , , font-family:方正书宋_GBK, This article reviews the definition, placement method, tip position, indications, application in special population and complications of midline catheter, so as to provide help for the placement and clinical use of midline catheter.

Key words: Indication, , Midline catheter, , Tip position, , Intravenous treatment, , , , Review

陈娟娟.

中线导管在住院病区患者静脉治疗中的应用现状 [J]. 国际医药卫生导报, 2025, 31(9): 1565-1568.

Chen Juanjuan.

The current application status of central venous catheters in intravenous therapy for inpatients in the hospital wards [J]. International Medicine and Health Guidance News, 2025, 31(9): 1565-1568.

参考文献

[1]中国研究型医院学会护理分会项目组.中等长度静脉导管临床应用专家共识[J].中华护理杂志,2020,55增刊: 43-50.

[2]Qin KR, Nataraja RM, Pacilli M. Long peripheral catheters: is it time to address the confusion?[J]. J Vasc Access, 2019,20(5):457-460. DOI: 10.1177/1129729818819730.

[3]Deutsch GB, Sathyanarayana SA, Singh N, et al. Ultrasound-guided placement of midline catheters in the surgical intensive care unit: a cost-effective proposal for timely central line removal[J]. J Surg Res, 2014,191(1):1-5. DOI: 10.1016/j.jss.2013.03.047.

[4]王清,傅荣,孙娟,等.改良外周静脉中等长度导管置入长度在神经内科患者的应用观察[J].护理学报,2016,23(15):72-75. DOI:10.16460/j.issn1008-9969.2016.15.072.

[5]Brescia F, Pittiruti M, Spencer TR, et al. The SIP protocol update: eight strategies, incorporating Rapid Peripheral Vein Assessment (RaPeVA), to minimize complications associated with peripherally inserted central catheter insertion[J]. J Vasc Access, 2024, 25(1): 5-13. DOI: 10.1177/11297298221099838.

[6]宋蕾,魏丽丽,姜文彬,等.超声引导中长导管置入可降低导管相关血流感染发生率[J].中华急诊医学杂志,2021,30(4):407-413. DOI:10.3760/cma.j.issn.1671-0282.2021.04.006.

[7]郎澜,鲁华鹏,肖奇贵,等.不同中线导管尖端位置在肝胆外科相关疾病患者中的应用[J].临床医学研究与实践,2020,5(30):149-151. DOI:10.19347/j.cnki.2096-1413.202030057.

[8]田水清,万永慧,周炜,等.迷你中线导管在肿瘤患者静脉治疗中的应用效果[J].护理学报,2023,30(4):75-78. DOI:10.16460/j.issn1008-9969.2023.04.075.

[9]Caparas J, Hu JP, Hung HS. Does a novel method of PICC insertion improve safety?[J]. Nursing, 2014,44(5):65-67. DOI: 10.1097/01.NURSE.0000444725.83265.1d.

[10]陈美红.改良型中等长度导管在感染外科住院患者中的应用研究[J].当代护士(下旬刊),2021,28(4):86-89. DOI:10.19793/j.cnki.1006-6411.2021.12.029.

[11]许美卿,许佳娜,陈映屏,等.神经外科行超声引导下改良型中等长度导管置入术导管异位的有关影响因素及预测模型[J].国际医药卫生导报,2022,28(20):2884-2889. DOI:10.3760/cma.j.issn.1007-1245.2022.20.015.

[12]Infusion Nurses Society.Policies and procedures for infusion therapy:neonate to adolescent[M].3rd ed. Norwood: Infusion Nurses Society, 2021.

[13]杨小玲,肖凤鸣,罗艳丽.我国使用中等长度导管静脉治疗的文献计量学分析[J].中国普外基础与临床杂志,2019,26(7):823-827. DOI:10.7507/1007-9424.201905120.

[14]徐燕,瞿艳新.中等长度导管在临床麻醉输液中的应用[J].中国当代医药,2022,29(20):70-73. DOI:10.3969/j.issn.1674-4721.2022.20.018.

[15]Caparas JV, Hu JP. Safe administration of vancomycin through a novel midline catheter: a randomized, prospective clinical trial[J]. J Vasc Access, 2014,15(4): 251-256. DOI: 10.5301/jva.5000220.

[16]Gorski LA. The 2016 infusion therapy standards of practice[J]. Home Healthc Now, 2017, 35(1): 10-18. DOI: 10.1097/NHH.0000000000000481.

[17]熊巍,陈佳,洪玮,等.中等长度静脉导管输注肠外营养液安全性的前瞻性临床研究[J].中华现代护理杂志,2023,29(5):589-593. DOI:10.3760/cma.j.cn115682-20220222-00812.

[18]杨圣楠,陈丽云,许婷,等.经改良中长导管输注20％甘露醇溶液的效果评价[J].中国继续医学教育,2018,10(35):161-163. DOI:10.3969/j.issn.1674-9308.2018.35.067.

[19]刘永芳,李彩虹.不同尖端位置中线导管在胃肠肿瘤患者围术期的对比研究[J].中华肿瘤防治杂志,2019(s1):211,213.

[20]王瑞,赵要松.超声引导下赛丁格技术置入改良中等长度导管在食管癌患者中的应用[J].肿瘤基础与临床,2021,34(1):69-72. DOI:10.3969/j.issn.1673-5412.2021.01.017.

[21]杨金芳,徐惠丽,周玉梅,等.改良三向瓣膜式中线导管在维持性血液透析患者静脉输液中的应用[J].卫生职业教育,2023,41(4):151-153. DOI:10.20037/j.issn.1671-1246.2023.04.44.

[22]纪鑫,高俊芳,刘秀静,等.中等长度导管在儿科静脉输液中的应用研究[J].滨州医学院学报,2017,40(5):354-356. DOI:10.3969/j.issn.1001-9510.2017.05.010.

[23]Östlund Å, Fläring U, Norberg Å, et al. Complications of pediatric midline catheters: a prospective observational pilot study[J]. Anesth Analg, 2024, 138(3): 572-578. DOI: 10.1213/ANE.0000000000006328.

[24]Kleidon TM, Schults JA, Wainwright C, et al. Comparison of midline catheters and peripherally inserted central catheters to reduce the need for general anesthesia in children with respiratory disease: a feasibility randomized controlled trial[J]. Paediatr Anaesth, 2021,31(9):985-995. DOI: 10.1111/pan.14229.

[25]王星珍.中线导管在早产儿和极低体重儿输液应用中30例分析[J].医学食疗与健康,2020,18(14):151-152.

[26]Romesberg TL. Evaluating the evidence for midline catheter use in the newborn intensive care unit[J]. J Infus Nurs, 2015, 38(6): 420-429. DOI: 10.1097/NAN. 0000000000000134.

[27]施德大.妊娠呕吐的治疗[J].国外医学.妇产科学分册, 1987(4):244-245.

[28]Cape AV, Mogensen KM, Robinson MK, et al. Peripherally inserted central catheter (PICC) complications during pregnancy[J]. JPEN J Parenter Enteral Nutr, 2014, 38(5):595-601. DOI: 10.1177/0148607113489994.

[29]吴文娜,秦瑶,周晓阳,等.妊娠相关静脉血栓栓塞的诊治及预防策略[J].实用心脑肺血管病杂志,2023,31(12):1-6.

[30]Viviani C, Fierro G, Milan B, et al. Two case reports of upper extremity venous thrombosis from midline catheter placement in pregnancy[J]. A A Pract, 2020,14(7): e01216. DOI: 10.1213/XAA.0000000000001216.

[31]王雅萍,赵林芳,曹秀珠.中等长度导管在孕晚期期待疗法患者中应用的循证依据及护理[J].护理与康复,2023,22(2):69-71. DOI:10.3969/j.issn.1671-9875.2023.02.017.

[32]Chen X, Liang M. A meta-analysis of incidence of catheter-related bloodstream infection with midline catheters and peripherally inserted central catheters[J]. J Healthc Eng, 2022,2022:6383777. DOI: 10.1155/2022/6383777.

[33]Villalba-Nicolau M, Chover-Sierra E, Saus-Ortega C, et al. Usefulness of midline catheters versus peripheral venous catheters in an inpatient unit: a pilot randomized clinical trial[J]. Nurs Rep, 2022,12(4): 814-823. DOI: 10.3390/nursrep12040079.

[34]李乾,赵欣,张晓维,等.成人不同静脉通路导管相关性血流感染发生率的网状Meta分析[J].护士进修杂志,2022,37(18):1720-1727. DOI:10.16821/j.cnki.hsjx.2022.18.020.

[35]许志娟,李秀轻,孔晔宏,等.成年患者中线导管留置与维护的最佳证据总结[J].护理学报,2022,29(1):41-46. DOI:10.16460/j.issn1008-9969.2022.01.041.

[36]于欢欢,唐绪妹,张鑫,等.血液肿瘤患者PICC相关并发症预防的最佳证据总结[J].上海护理,2023,23(9):44-49. DOI:10.3969/j.issn.1009-8399.2023.09.010.

[37]赵林芳,蔡志云,樊小朋,等.中等长度静脉导管置管不同尖端位置的效果比较[J].中华护理杂志,2022,57(5):517-524. DOI:10.3761/j.issn.0254-1769.2022.05.001.

[38]Elli S, Pittiruti M, Pigozzo V, et al. Ultrasound-guided tip location of midline catheters[J]. J Vasc Access, 2020, 21(5):764-768. DOI: 10.1177/1129729820907250.

[39]刘纬华,白文辉,杜晓宁,等.成人中线导管堵塞预防的最佳证据总结[J].护理学报,2022,29(22):46-51. DOI:10.16460/j.issn1008-9969.2022.22.046.

[40]中华人民共和国国家卫生和计划生育委员会.静脉治疗护理技术操作规范:WS/T 433-2013 [S/OL].2013. [2024-09-10].https://d.wanfangdata.com.cn/standard/ChpTdGFuZGFyZE5ld1MyMDI1MDMxNDE3MDI1MhINV1MvVCA0MzMtMjAxMxoINmRremcyYzY%3D.

[41]鲁华鹏,马梅,何晴,等.中等长度导管及经外周静脉穿刺中心静脉置管导管相关血流感染发生率的Meta分析[J].中国感染控制杂志,2021,20(4):309-319. DOI:10.12138/j.issn.1671-9638.20217545.

[42]张德雪,李小林,马玉君.集束化干预策略在降低肿瘤患者中长导管相关并发症的研究[J].临床医药文献电子杂志,2018,5(90):118-119. DOI:10.3877/j.issn.2095-8242. 2018.90.087.