植入式静脉输液港与中心静脉导管降低感染的效果比较  

Comparison of effect between implanted venous port and PICC on decreasing infections

作　　者：潘小为[1] 侯秋秀[1] 罗金玲 

机构地区：[1]中山大学附属第一医院血液科,广东广州510080 [2]广州市妇女儿童医疗中心血液肿瘤科,广东广州510000

出　　处：《中华医院感染学杂志》2013年第14期3364-3365,3368,共3页Chinese Journal of Nosocomiology

基　　金：广东省科技计划项目(2011B5031800120)

摘　　要：目的比较植入式静脉输液港与中心静脉导管(PICC)在降低血液恶性肿瘤患者感染发生中的效果,为输液方式的选取提供依据。方法选取2011年1月-2012年11月采用PICC置管进行输液的29例血液恶性肿瘤患者为A组,同期植入式静脉输液港进行输液的29例患者为B组,然后将两组患者的导管相关感染发生率、导管留置时间及置管前、后不同时间的血清炎性因子进行比较。结果 B组的导管相关感染发生率为3.45%,低于A组的10.34%,导管留置时间为(259.4±14.8)d,长于A组的(80.4±10.6)d,差异均有统计学意义(P<0.05);同时置管后不同时间的血清炎性因子水平也均明显低于A组患者相应时段的水平(P<0.05)。结论植入式静脉输液港在降低血液恶性肿瘤患者感染发生中的效果好于PICC,患者的炎性反应更为轻微。OBJECTIVE To compare the effect of implanted venous port and PICC in decreasing the infections in patients with blood malignant tumor so as to choose the appropriate transfusion methods.METHODS A total of 29 patients with blood malignant tumor,who were treated with PICC in the hospital from Jan 2011to Nov 2012,were selected as the group A,while 29 cases of patients,who were treated with implanted venous port at the same period,were set as the group B,then the incidence of catheter-related infections,catheter indwelling time,and serum inflammatory factors before and after the catheterization were compared between the two groups.RESULTS The incidence of catheter-related infections of the group B was 3.45%,lower than 10.34% of the group A;the catheter indwelling time of the group B was（259.4±14.8）d,longer than（80.4±10.6）d of the group A,the difference was significant（P0.05）;the levels of serum inflammatory factors at different time after the catheterization were significantly lower in the group B than in the group A at the corresponding time（P0.05）.CONCLUSIONThe implanted venous port can achieve better effect than does the PICC in reducing the infections in the patients with blood malignant tumor,with the inflammatory response slighter.

关 键 词：植入式静脉输液港 中心静脉导管 血液恶性肿瘤 

分 类 号：R181.32[医药卫生—流行病学]