中心静脉通路装置拔除护理专家共识

doi:10.3761/j.issn.0254-1769.2026.09.001

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (9): 1157-1162.DOI: 10.3761/j.issn.0254-1769.2026.09.001

• 静脉通路装置留置及维护专题 • 下一篇

中心静脉通路装置拔除护理专家共识

中华护理学会静脉输液治疗专业委员会, 北京护理学会（执笔：李佳¹(), 李旭英², 覃惠英¹, 陈利芬³, 吴珍明⁴, 胡泽吟⁴, 罗梦娜⁵, 范育英⁵, 吴嘉慧⁶, 林宇萍⁴, 王蕾⁷, 孙文彦⁸, 冯毕龙⁹, 高伟¹⁰, 李亚南¹¹, 侯罗娅¹², 李春燕¹³^,^*()

¹ 中山大学肿瘤防治中心护理部广州市 510060
² 湖南省肿瘤医院护理部长沙市 410000
³ 中山大学附属第一医院护理部广州市 510080
⁴ 中山大学肿瘤防治中心导管门诊广州市 510060
⁵ 中山大学肿瘤防治中心鼻咽科广州市 510060
⁶ 中山大学肿瘤防治中心日间化疗门诊广州市 510060
⁷ 北京医院/国家老年医学中心/中国医学科学院老年医学研究院护理部北京市 100005
⁸ 北京协和医院临床营养科北京市 100730
⁹ 武汉大学中南医院护理部武汉市 430071
¹⁰ 山东大学齐鲁医院PICC门诊济南市 250012
¹¹ 郑州大学第一附属医院护理部郑州市 451191
¹² 浙江中医药大学护理学院杭州市 310053
¹³ 北京护理学会北京市 100005

收稿日期:2025-11-07 出版日期:2026-05-10 发布日期:2026-04-30
*通讯作者: 李春燕，E⁃mail：lcy_hhh@126.com
作者简介:李佳：女，硕士（博士在读），副主任护师，护理部副主任，E⁃mail：lijia1@sysucc.org.cn

Expert consensus on nursing care of central venous access device removal

Intravenous Infusion Therapy Committee of Chinese Nursing Association, Beijing Nursing Association, （Writing Committee：LI Jia¹(), LI Xuying², QIN Huiying¹, CHEN Lifen³, WU Zhenming⁴, HU Zeyin⁴, LUO Mengna⁵, FAN Yuying⁵, WU Jiahui⁶, LIN Yuping⁴, WANG Lei⁷, SUN Wenyan⁸, FENG Bilong⁹, GAO Wei¹⁰, LI Yanan¹¹, HOU Luoya¹², LI Chunyan¹³^,^*(), ）

¹ Department of Nursing， Sun Yat-sen University Cancer Center， Guangzhou 510060， China
² Department of Nursing， Hunan Cancer Hospital， Changsha 410000， China
³ Department of Nursing， the First Affiliated Hospital of Sun Yat-sen University， Guangzhou 510080， China
⁴ Department of Catheter Clinic， Sun Yat-sen University Cancer Center， Guangzhou 510060， China
⁵ Department of Nasopharyngeal Carcinoma， Sun Yat-sen University Cancer Center， Guangzhou 510060， China
⁶ Department of Daytime Chemotherapy Clinic， Sun Yat-sen University Cancer Center， Guangzhou 510060， China
⁷ Department of Nursing， Beijing Hospital，National Center of Gerontology，Institute of Geriatric Medicine，Chinese Academy of Medical Sciences， Beijing 100005， China
⁸ Department of Clinical Nutrition， Peking Union Medical College Hospital， Beijing 100730， China
⁹ Department of Nursing， Zhongnan Hospital of Wuhan University， Wuhan 430071， China
¹⁰ PICC Clinic， Qilu Hospital of Shandong University， Jinan 250012， China
¹¹ Department of Nursing， the First Affiliated Hospital of Zhengzhou University， Zhengzhou 451191， China
¹² School of Nursing， Zhejiang Chinese Medical University， Hangzhou 310053， China
¹³ Beijing Nursing Association， Beijing 100005， China

Received:2025-11-07 Online:2026-05-10 Published:2026-04-30
* Corresponding author: LI Chunyan，E⁃mail：lcy_hhh@126.com

1. “中心静脉通路装置拔除护理专家共识”全文.pdf(1339KB)

摘要/Abstract

摘要：

目的形成中心静脉通路装置拔除护理专家共识（以下简称“共识”），以规范相关临床实践。方法系统进行文献检索、质量评价与证据整合，并结合实践经验，形成“共识”初稿。于2025年5—7月通过2轮专家函询及2次专家论证会，对“共识”内容进行修订，形成终稿。结果 24名来自广东、广西、福建等14个省份的专家参与了2轮函询。2轮专家函询中，专家的积极系数分别为92.31%、100%，权威系数分别为0.903、0.908，条目重要性评分均数分别为4.04~5.00、3.97~4.90分，变异系数分别为0~0.23、0.06~0.25，肯德尔和谐系数分别为0.202、0.138（均P<0.001）。“共识”包括适用范围、定义、中心静脉通路装置的拔除指征、拔除中心静脉通路装置的注意事项及应急处理措施等内容。结论 “共识”具有科学性和严谨性，可为拔除中心静脉通路装置相关操作提供实践指导。

关键词: 中心静脉通路装置, 静脉血栓形成, 导管相关性感染, 皮炎, 接触性, 专家意见, 护理

Abstract:

Objective To develop an expert consensus on the removal of central venous access devices（hereinafter referred to as the “consensus”） to standardize related clinical practices. Methods A systematic literature search，literature quality evaluation，and synthesis were conducted. Combined with practical experience，an initial draft of the “consensus” was developed. From May to July 2025，the draft underwent revision and refinement through 2 rounds of expert Delphi surveys and 2 expert panel meetings，culminating in the final version. Results A total of 24 experts from 14 provinces/municipalities（Guangdong，Guangxi，Fujian，et al） participated in 2 rounds of Delphi survey，with response rates of 92.31% and 100%. In both Delphi rounds，expert authority coefficients were 0.903 and 0.908，respectively；mean importance scores ranged from 4.04~5.00（round 1） and 3.97~4.90（round 2）；coefficients of variation were 0~0.23（round 1） and 0.06~0.25（round 2）；Kendall’s W coefficients were 0.202 and 0.138（both P<0.001）. This “consensus” covers the scope of application，definitions of key terms，indications for catheter removal，operational precautions，and related emergency management measures. Conclusion The “consensus” is scientific and rigorous，providing practical guidance for the procedures related to the removal of central venous access devices.

Key words: Central Venous Access Device, Venous Thrombosis, Catheter-Related Infections, Dermatitis, Contact, Consensus Statement, Nursing Care

中华护理学会静脉输液治疗专业委员会, 北京护理学会（执笔：李佳, 李旭英, 覃惠英, 陈利芬, 吴珍明, 胡泽吟, 罗梦娜, 范育英, 吴嘉慧, 林宇萍, 王蕾, 孙文彦, 冯毕龙, 高伟, 李亚南, 侯罗娅, 李春燕）. 中心静脉通路装置拔除护理专家共识[J]. 中华护理杂志, 2026, 61(9): 1157-1162.

Intravenous Infusion Therapy Committee of Chinese Nursing Association, Beijing Nursing Association, （Writing Committee：LI Jia, LI Xuying, QIN Huiying, CHEN Lifen, WU Zhenming, HU Zeyin, LUO Mengna, FAN Yuying, WU Jiahui, LIN Yuping, WANG Lei, SUN Wenyan, FENG Bilong, GAO Wei, LI Yanan, HOU Luoya, LI Chunyan, ）. Expert consensus on nursing care of central venous access device removal[J]. Chinese Journal of Nursing, 2026, 61(9): 1157-1162.

图/表 1

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Expert consensus on nursing care of central venous access device removal

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