不同穿刺方法对强刺激性化疗药物致静脉炎发生的影响  

The effect of different medicine given method on phlebitis in strong and stimulating medicine chemotherapy.

作　　者：杨惠娟 林丽珍 江水娇 Yang Huijuan, Lin Lizhen, Jiang Shuijiao. （The First People＇s Hospital of Zhaoqing City, Guangdong Province ,525021 ）

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2008年第18期768-769,共2页Chinese Health Care

摘　　要：目的：探讨不同穿刺方法与部分刺激性化疗药物导致静脉炎的关系。方法：以住院化疗患者为研究对象，100例患者分为3组：A组，使用头皮钢针穿刺外周静脉；B组，使用静脉留置针；C组，使用外周中心静脉置管（PICC）。观察采用三种不同的静脉给药方式患者静脉炎的发生率及严重程度。结果：A组静脉炎的发生率为84％（21／25），B组发生率为51．5％（18／35），C组发生率25％（10／40）。结论：PICC可以有效地降低静脉炎的发生率，应作为刺激性化疗药物的首选穿刺方法。不宜使用PICC的患者，可以用静脉留置针。Objective：To study the relationship between phlebitis in strong and stimulating medicine chemotherapy and different medicine given method by the vein. Methods：One hundred and twenty eight cases treated with chemotherapy in our department were divided into three groups. Group - A, puncturing peripheral veins by using scalp - needle ; Group - B, by using intravenous catheter system ; Group - C, by using peripherally inserted central catheters（PICC）. And observed the occurrence rate of phlebitis and serious degree of the three kinds of different medicine given method by veins. Results：The phlebitis rate of Group - A was 84% （21/25 ）, Group - B was 51.5 % （ 18/35 ）, Group - C was 25 % （10/40）. Con- clusion：PICC is the best puncturing method for preventing phlebitis and leakage well. If PICC is not suitable for some patients,intravenous catheter partly can be used instead.

关 键 词：头皮钢针 静脉留置针 PICC 化疗 静脉炎 比较 

分 类 号：R452[医药卫生—治疗学;医药卫生—临床医学]