两种不同置管方法进行胃肠外营养治疗的研究  

Research on two kinds methods of indwelling catheter to carry on the TPN treatment

作　　者：庞晓军[1] 黄玉珍[1] 邱小青[1] 苏方[1] 吴秋[1] 

机构地区：[1]钦州市第二人民医院,广西钦州535000

出　　处：《现代预防医学》2013年第9期1779-1780,共2页Modern Preventive Medicine

基　　金：广西卫生厅立项课题(Z2011404)

摘　　要：目的探讨两种不同置管方法进行胃肠外营养治疗的比较。方法选择自2009年1月～2011年11月在某院住院需TPN治疗超过7d,且中心静脉和外周静脉状况良好的患者89例,按随机数字法随机分为两组,一组采用PICC置管,另一组采用CVC置管,对比两组导管相关性感染率、导管脱落、营养支持10d后导管内壁沉淀物、置管留置时间、一次性插管成功率以及整个治疗过程导管维护费用。结果热量、氨基酸量、谷氨酰胺摄入以及一次性插管成功率无差异的基础上,采用PICC置管进行胃肠外营养治疗导管相关性感染发生率、导管维护费用、营养支持10d后导管内壁沉淀物几率出现较CVC置管的低,但PICC置管的导管脱落例数较CVC置管的多。结论需长期胃肠外营养治疗的患者首选PICC置管较为理想。OBJECTIVE To compare two different indwelling catheter methods for treatment of parenteral nutrition.METHODS From January 2009 to November 2011,selected patients more than 7 days in the hospital treated by TPN in our hospital,and the central vein and peripheral vein in good condition in 89 patients,were randomly divided into two groups randomly,A group with PICC catheter,another group with CVC catheter,compared catheter-related infection,catheter,the inner wall of the catheter for 10 days after nutritional support,catheter indwelling time,the one-time success rate of intubation and the catheter maintenance costs of whole treatment process in two groups.RESULTS Heat,amino acid,glutamine uptake and one-time success rate of intubation had no differences.The incidences of catheter-related infection,catheter maintenance costs,the inner wall of the catheter for 10 days after nutritional support in PICC catheterization group were lower than CVC tube group,but in PICC cathetergroup,defluxion cases were more than CVC tube group.CONCLUSION The preferred PICC catheter is ideal for patients who need long-term parenteral nutrition therapy.

关 键 词：PICC CVC 胃肠外营养 比较 

分 类 号：R459.3[医药卫生—治疗学]