158例胃肠肿瘤术后应用PICC行肠外营养的安全性及效果  

A study of the safety and efficacy of postoperative parenteral nutrition by PICC in 158 gastrointestinal tumor-patients

作　　者：赖勇强[1] 叶翠云[1] 

机构地区：[1]佛山市高明区人民医院普外科,广东佛山528500

出　　处：《中国医学工程》2013年第3期31-32,共2页China Medical Engineering

摘　　要：目的探讨应用经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)在胃肠肿瘤术后行肠外营养支持治疗的安全性及效果。方法选择158例胃肠肿瘤术后全肠外营养(TPN)支持治疗的患者,分为观察组PICC组93例和对照组经中心静脉置管组(Central veins catheter,CVC)65例,通过观察两组一次置管成功率、置管相关并发症和对患者营养指标影响,分析PICC对于TPN的安全性及效果。结果 PICC的一次穿刺成功率高于CVC组,PICC组发生局部血肿并发症的可能性小于对照组。发生静脉炎、导管堵塞、导管相关感染、中止拔管等并发症方面,两组发生率差异无统计学意义。对比术前及TPN 7天后的营养指标(体重、ALB、淋巴细胞计数)变化,两组无显著性差异。结论与CVC方法相比,PICC在胃肠肿瘤术后行肠外营养的穿刺成功率更高,发生相关并发症的可能性相当,且可以获得相同营养效果。【Objective】 To study the safety and efficacy of postoperative parenteral nutrition by PICC in intestinal-tumor patients.【Methods】Including 158 patients with gastrointestinal tumors who need TPN treatment after surgical operation.All divided into two groups,the PICC group（93 patients） and the CVC group（58 patients）.Observed the success rate of the first catheter operation,catheter-related complications and patient nutrition indicators,and analyzed the safety and efficacy of the PICC for TPN.【Resluts】This study showed that the first catheter success rate in PICC group was significantly higher than in CVC group.The possibility of the PICC group of local hematoma complications is less than the control group.But for phlebitis,catheter blockage,catheter-related infections and suspend extubation complications,etc.the incidence was no statistically significant difference in two groups.Compared preoperative and TPN 7 days after surgery,the nutrition indicators（weight,ALB,lymphocyte count） change was no significant difference in two groups.【Conclusion】Compared with CVC,the method of PICC in TPN after gastrointestinal tumor surgery had a better safety,the same effectiveness.

关 键 词：PICC 全肠外营养 效果 

分 类 号：R735.2[医药卫生—肿瘤]