经外周置入中心静脉导管用于肿瘤化疗的临床观察与护理  

Clinical observation and nursing care of PICC applied for chemotherapy of tumor patients

作　　者：赖孝兰[1] 王玉清[1] 李平英[1] 

机构地区：[1]四川省射洪县人民医院

出　　处：《全科护理》2010年第4期289-290,共2页Chinese General Practice Nursing

摘　　要：[目的]观察经外周置入中心静脉导管(PICC)用于肿瘤化疗的效果,探讨其护理措施。[方法]将100例肿瘤化疗病人随机分为观察组和对照组,每组50例,观察组采用PICC置管,对照组采用外周浅静脉穿刺置管。观察并比较两组病人置管留置时间、发生药物渗漏及脉管炎情况、置管留置期间病人存在恐惧或焦虑情况。[结果]观察组置管留置时间长于对照组;观察组发生药物渗漏及脉管炎2例,对照组16例;观察组置管留置期间病人存在恐惧或焦虑5例,对照组14例。[结论]经外周置入中心静脉导管用于肿瘤化疗效果明显优于外周浅静脉穿刺置管。Objective： To observe the effect of PICC applied for chemotherapy of tumor patients and to probe into nursing measures for them. Methods： A total of 100 cases of tumor patients accepting chemotherapy were divided into test and control group randomly 50 cases each. Patients of test group were accepted peripherally inserted central catheter （PICC）. Pa- tients of control group were accepted peripherally superficial vein catheterization. Then the detaining time of catheter, the incidences of drug leakage and phlebitis, and fear and anxiety state during catheter detaining of all cases were observed and compared. Results：The detaining time of patients in test groups was longer than that of control group. Only 2 cases had oc- curred drug leakage and phlebitis in test group, 16 cases in control group. Five patients had psychological fear or anxiety in test group. However, 14 cases were with psychological fear or anxiety in control group. Conclusion： The effect of PICC for chemotherapy of tumor patients is superior to that of peripherally superficial vein catheterization.

关 键 词：经外周置入中心静脉导管 肿瘤 化疗 外周浅静脉穿刺置管 临床观察 

分 类 号：R473.73[医药卫生—护理学]