摘要
完全植入式静脉输液港(TIVAP)作为一种中心静脉通路装置,广泛应用于需长期或间歇性静脉输液、化疗、营养支持等治疗的患者,可有效减少反复穿刺,具有安全、便捷等优点。当前基层医疗机构在TIVAP维护及并发症管理中存在流程不一、操作不规范等问题。为提高TIVAP使用安全性与规范性,保障患者治疗效果,河南省医师协会结直肠肛门外科医师分会组织多学科专家,结合国内外循证证据与临床实践经验,制定本基层技术规范专家共识。共识内容涵盖TIVAP的评估、维护、并发症处理及预防策略,提出了10条专家推荐意见,强化可操作性与基层适配性,旨在为基层医护人员提供科学、统一、实用的操作指导,降低并发症发生风险,提升临床质量与患者安全。
As a type of central venous access device,the totally implantable venous access port(TIVAP)is widely used in patients requiring long-term or intermittent intravenous infusion,chemotherapy,nutritional support,and other treatments.It effectively reduces the need for repeated punctures and offers advantages such as safety and convenience.However,in primary healthcare institutions,there are still inconsistencies in procedures and non-standardized practices in the maintenance and complication management of TIVAP.To enhance the safety and standardization of TIVAP usage and to ensure treatment efficacy,the Colorectal and Anorectal Surgery Branch of the Henan Medical Doctor Association convened a multidisciplinary panel of experts to develop this expert consensus on grassroots technical specifications,integrating domestic and international evidence-based findings and clinical experience.The consensus covers the assessment,maintenance,management,and prevention of complications of TIVAP,and proposes 10 expert recommendations with an emphasis on operational feasibility and suitability for primary care.It aims to provide scientific,standardized,and practical guidance for frontline healthcare workers,reduce the risk of complications,and improve clinical quality and patient safety.
出处
《中国普通外科杂志》
北大核心
2025年第6期1109-1120,共12页
China Journal of General Surgery
基金
河南省自然科学基金资助项目(252300421019)。
关键词
血管通路装置
规范
初级卫生保健
多数赞同
Vascular Access Devices
Benchmarking
Primary Health Care
Consensus
