外周导入中心静脉置管与中心静脉置管并发症的比较  

Comparative Study on Complications of PICC and CVC in Used Patients with Malignant Tumor

作　　者：杨小娟[1] 

机构地区：[1]广东医学院附属医院,湛江524001

出　　处：《现代护理》2005年第12期942-943,共2页Modern Nursing

摘　　要：目的比较外周导入中心静脉置管(penlpherallyinsertedcentralcatheter,PICC)与中心静脉置管(centralvenouscatheter,CVC)的并发症,为置管前宣教和置管后护理提供根据。方法将92例恶性肿瘤患者分2组,A组(n=52)采用PICC置管;B组(n=40)采用CVC置管,比较2组并发症的发生率。结果A组静脉炎、导管堵塞、导管脱出、静脉血栓形成发生率明显高于B组,B组导管相关感染,导管断裂发生率高于A组。结论肿瘤终末期、机体抵抗力差、长时间卧床的患者行PICC置管较为方便;需要长时间化疗。化疗间歇期需要适当活动,特别是乳腺癌术后术侧肢体需要锻炼的患者,以CVC置管为宜。行CVC置管时,正确固定、严格换药十分重要。Objective To compare the complication on a central venous catheter inserting method through comparing peripherally inserted central catheter(PICC) with traditional central venous catheterization(CVC),supplying foundation for teaching before catheter and nursing care after catheter. Methods 92 patients with malignant tumor were randomly divided into receive PICC (group A,52 cases) or CVC (group B,40 cases).The two complications were observed.Results The incidence of phlebitis,catheter blockage,catheter exfoliation、venous thrombosis in group A was higher than that in group B,the incidence of catheter correlation infection、catheter break in group B was higher than that in group A.Conclusions The patients with malignant tumor telophase、body resistance weak、long-time lying in bed receptive PICC are convenient,the patients with malignant tumor long-time Chemotherapy、Chemotherapy rest-time demand proper activity,extraordinary mammary tumor side limb post-operation demand exercises receptive CVC are convenience.It is very important for precision fixation and strict dressing change.

关 键 词：外周导入中心静脉置管 中心静脉置管 恶性肿瘤 并发症 护理 

分 类 号：R472[医药卫生—护理学]