Effect of aspirin intervention on thrombosis after application of peripherally inserted central catheter in lung cancer patients: a retrospective observation with 997 cases
10.3760/cma.j.issn.1674-635X.2013.02.012
- VernacularTitle:阿司匹林干预对肺癌化疗患者PICC置管后血栓发生率的影响:997例回顾性研究
- Author:
Guangming WAN
;
Haoyun CHEN
;
Wenying TANG
;
Qiaoqiong YANG
- Publication Type:Journal Article
- Keywords:
Aspirin;
Lung cancer patient;
Peripherally inserted central cartheter;
Thrombosis;
Effect
- From:
Chinese Journal of Clinical Nutrition
2013;(2):118-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of aspirin intervention on thrombosis in lung cancer patients with peripherally inserted central catheter (PICC).Methods From December 2007 to June 2012,a total of 997 cases of lung cancer received PICC insertion in Shanghai Chest Hospital.The patients admitted from December 2007 to October 2011 were in the control group (n =562),while those admitted from November 2011to June 2012 were in the intervention group (n =435).The control group received conventional catheterization and saline tube sealing; the study group was treated with the modified Seldinger technique,oral administration of aspirin enteric tablets,and diluted heparin sodium tube sealing.Results The incidence of thrombosis was4.09％ (23/562) in the control group and 2.99％ (13/435) in the intervention group.In the control group,17 cases of thrombosis occurred within 1 week after catheter insertion,3 between 1 week to 1 month,and 3 after 1 month ; in the intervention group,4 cases of thrombosis occurred within 1 week after catheter insertion,5between 1 week to 1 month,and 4 after 1 month,presenting a significant difference compared with the control group (Z =-2.221,P =0.026).A significant intergroup difference was also observed in terms of thrombus location (Z =-2.066,P =0.039):in the control group,17 cases had thrombus in peripheral superficial vein,and 6 in supraclavicular vein or internal jugular vein; while in the intervention group,5 cases had thrombus in peripheral superficial vein,and 8 in supraclavicular vein or internal jugular vein.Conclusion The prophylactic oral administration of aspirin could effectively reduce the thrombosis in lung cancer patients treated with chemotherapy via PICC.
