Analysis of Influencing Factors on PICC Deep Vein Thrombosis in Patients with Hemorrhagic Stroke

Abstract

Abstract: Objective Understand the influencing factors of deep vein thrombosis in patients with hemorrhagic stroke after PICC catheterization. Methods This study used a retrospective analysis method to analyze the clinical data of 235 PICC patients with hemorrhagic stroke admitted to the First People's Hospital of Changde City from January 2021 to December 2023. According to the formation of deep vein thrombosis, patients were divided into two groups: occurrence group (34 cases) and non occurrence group (201 cases). The age, gender, Wells score at catheterization, Caprini score at catheterization, Glasgow Coma Scale (GCS) score at catheterization, muscle strength at catheterization site, D-dimer before catheterization, plasma fibrinogen before catheterization, and thrombin time before catheterization were analyzed for both groups. Four limb deep vein ultrasound was dynamically re examined after catheterization. Results Among 235 patients with hemorrhagic stroke, 34 developed deep vein thrombosis after PICC catheterization, with an incidence rate of 14.5%; There was no statistically significant difference between the two groups in terms of patient gender, Caprini score at catheterization, GCS score at catheterization, muscle strength at catheterization site, plasma fibrinogen before catheterization, and thrombin time before catheterization (P>0.05); There were statistically significant differences between the two groups in patient age, Wells score at catheterization, and D-dimer before catheterization (P<0.05). Conclusion Being too old, having a low Wells score during catheterization, and having high levels of D-dimer before catheterization can increase the incidence of related venous thrombosis in patients with hemorrhagic stroke after PICC catheterization. For such patients, active prevention of deep vein thrombosis should be taken after catheterization, and dynamic ultrasound examinations of the deep veins in the limbs should be conducted in a timely manner. If necessary, deep vein catheterization should be used instead of PICC.

Key words: Hemorrhagic stroke, PICC-associated venous thrombosis, Clinical features

CLC Number:

R743.3

TANG Yan-li, CHEN Jian-qin. Analysis of Influencing Factors on PICC Deep Vein Thrombosis in Patients with Hemorrhagic Stroke[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(7): 119-122.

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