PICC置管在肿瘤化疗患者中的应用研究  

Study on the application of peripheral inserted central catheters for patients with chemotherapy

作　　者：李美萍[1] 陈建明[1] 李莲[1] 

机构地区：[1]广东医学院附属医院肿瘤中心五区,湛江524001

出　　处：《国际护理学杂志》2010年第1期57-59,共3页international journal of nursing

摘　　要：目的通过对经外周静脉穿刺的中心静脉置管（PICC）和锁骨下静脉插管在肿瘤化疗患者中的应用对比研究，探索安全、高效的化疗给药途径。方法36例经肘窝外周静脉穿刺的中心静脉置管肿瘤化疗患者为观察组（A组），32例经右侧锁骨下静脉穿刺的中心静脉置管患者为对照组（B组），比较两组的置管成功率、操作时间、留管时间及并发症。结果A组一次置管成功率为91．67％，B组为78．13％（P〈0．01）；A组平均操作时间（11．89±1．06）min，B组为（22．46±2．83）min（P〈0．01）；A组平均留管时间为（65．90±5．92）d，B组为（39．31±3．33）d（P〈0．01）；A组并发症8．33％，B组并发症为18．75％（P〈0．01）。结论PICC置管成功率高、节省时间、留管时间长、并发症低、病人痛苦时间短，值得在临床上推广应用。Objective To compare the clinical application of peripheral inserted central catheters （PICC） and under collarbone central venous catheter （CVC） for patients with malignant tumor. Methods 36 patients who were punctured PICC were selected as PICC （A） group. 32 patients who were punctured under collarbone CVC were CVC （B） group. The successful rate of tuber insertion, operation time, retain time and side - reaction for the two group were recorded and evaluated. Results The success rate of insertion of group A was 91.67%, and group B was 78. 13%.The mean time of puncture of group A was （11.89 ± 1.06） mln, group B was （22.46 ±2.83） rain. The retain time of group A was （65.90 ±5.92） d, group B was （ 39. 31 ±3. 33 ） d 0nly. Moreover the incidence of side reaction of group A was 8. 33%, and group B was 18.75%. There were significant differences between the two groups. Conclusions PICC is superior in successful rate, time and manpower saving, lower complication and retain time. And more secure and convenient for the patients with malignant tumor needed for long time transfusion. It is worth for extending in clinical application.

关 键 词：PICC 锁骨下静脉插管 护理 肿瘤化疗 

分 类 号：R473.73[医药卫生—护理学]