外周中心静脉导管(PICC)对于肿瘤患者肠外营养治疗及化疗十分重要。 中国抗癌协会肿瘤营养专业委员会按照 循证医学原则,以当前最佳证据为依据,制订并于 2021 年 7 月发布了《中国成年患者营养治疗通路指南》,旨在为患者提供安 全有效的 PICC 建议,促进患者安全应用静脉导管,减少感染、堵塞等并发症,指南编写简明扼要,方便临床医师和护士在临床 中使用。 本指南根据 GRADE 方法给出了证据等级,针对 PICC 如何选择穿刺部位、何种方式引导穿刺、如何维持通畅以及堵 塞后怎么治疗等问题,给予了 8 条推荐意见。 本文主要从指南概述、PICC 技术、适应证、并发症、推荐意见和证据评估等方面 对本指南的主要内容进行解读,为中国成年患者营养治疗过程中 PICC 的应用提供最新的循证医学证据。

Peripherally inserted central venous catheter PICC is very important for parenteral nutrition and chemotherapy in patients with carcinoma. In July 2021 Chinese Society of Nutritional Oncology released the Guidelines for Nutritional Therapy Pathways for Adult Patients in China. To provide patients with safe and effective PICC this guideline is formulated in accordance with the principles of evidence-based medicine and based on the best current evidence. The guidelines are written concisely and easily for clinicians and nurses to use in clinical practice. The guidelines give the level of evidence based on the GRADE and 8 recommendations on how to choose the puncture site how to guide the puncture how to maintain patency and how to treat after blockage. According to the guideline it would promote early recovery of patients and reduce catheter-related infection complications. This article mainly introduces and interprets the main contents of this guideline from the aspects of guideline overview PICC technology indications complications recommendations and evidence evaluation to provide the latest evidence-based medical evidence for the application of PICC during nutritional therapy in Chinese adult patients.