两种化疗泵配合PICC在5-氟尿嘧啶持续泵入化疗中应用效果比较  

Comparison of the effects of two chemotherapy pumps combined with PICC in 5-FU continuous pump infusion

作　　者：张雪花[1] 张海丽[1] 林琳[1] 

机构地区：[1]解放军总医院肿瘤内科,北京100853

出　　处：《军医进修学院学报》2010年第8期793-794,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的比较两种化疗泵配合PICC在5-氟尿嘧啶持续泵入化疗中应用的效果。方法将60例患者随机分为2组(球囊组及电脑组),化疗前均给予PICC置管术,遵医嘱进行5-氟尿嘧啶持续48h泵入化疗,分别记录泵入时间、与医嘱要求时间差、电脑组报警次数、原因、处理效果,化疗结束后进行化疗泵对患者生活起居影响的调查并进行组间比较。结果电脑型化疗泵泵入药物时间较球囊型精确(P<0.01),具有报警设置且能及时发现问题及时处理;对患者日常活动的影响两组无差异(P>0.05);对患者更衣及睡眠的影响,电脑型化疗泵大于球囊型化疗泵(P<0.01)。结论电脑型化疗泵配合PICC进行5-氟尿嘧啶持续泵入化疗更准确、安全,可保证药物持续泵入。Objective To compare the effects of two chemotherapy pumps combined with PICC in 5-FU continuous pump infusion.Methods Sixty patients were randomly divided into sacculus group and computerized group.A PICC tube was inserted into the patients before chemotherapy.The patients were given 5-Fu continuous pump infusion for 48h following the doctor＇s advice.Pumping time,time discrepancy,times and cause of computer alarm,and solution time of problems were recorded.Influences of chemotherapy pump on the daily life of patients were compared after chemotherapy.Results Computerized pump with alarm device was more accurate than sacculus pump without alarm devise in pumping chemotherapeutic drugs through the PICC tube（P0.01） and could timely find and solve the problems occurred with no influence on the daily life of patients between the two groups（P0.05）.However,it had a greater effect on the dressing and sleep of patients than sacculus pump（P0.01）.Conclusion Computerized pump combined with PICC is more accurate and safe than sacculus pump in 5-FU continuous pumping infusion and can ensure the continuous 5-FU pump infusion.

关 键 词：输注泵 PICC 药物疗法 护理 

分 类 号：R47[医药卫生—护理学]