儿童急性淋巴细胞性白血病置入PICC最佳时机的探讨  

PICC placement opportunity in acute lymphocytic leukemia in children

作　　者：贾旭红[1] 胡晓华[1] 齐爱华[1] 谭文婷[1] 赵启阁[1] 赵一曼[1] 

机构地区：[1]西安市儿童医院血液肿瘤科,陕西西安710002

出　　处：《现代肿瘤医学》2013年第11期2568-2570,共3页Journal of Modern Oncology

基　　金：西安市儿童医院院级课题(编号:2011B08)

摘　　要：目的:探讨急性淋巴细胞性白血病患儿置入PICC的最佳时机。方法:将我科2009年5月-2012年4月确诊为急性淋巴细胞性白血病患儿117名随机分为两组,观察组患儿置管时间选择在诱导缓解期第5-6天,对照组患儿置管时间为诱导缓解期第1-2天。观察两组患儿置管时的接受配合程度及置管1月内导管相关血流感染的发生例数。结果:两组患儿中,观察组患儿置管时接受配合程度明显高于对照组(P<0.01)。观察组患儿1月内无1例导管相关血流感染发生,差别有统计学意义(P<0.05)。结论:小儿急性淋巴性白血病置入PICC的最佳时机为诱导缓解期第5-6天。Objective：To study the best opportunity to peripherally inserted central catheter （PICC）placement in acute lymphocytic leukemia children.Methods：All 117 children of acute lymphocytic leukemia were collected and randomly divided into 2 groups as observation group and control group.PICC placement was performed in 5-6 days during induced remission stage in observation group,while in 1-2 days in control group.Results：The cooperation level of observation group was significantly higher than control group（P ＜ 0.01）.There was no case of catheter related hematogenous infections in obsered group the difference between two groups was statistically significant（P ＜ 0.05）.Conclusion：The best opportunity of PICC placement was 5-6 days during induced remission stage in acute lymphocytic leukemia children.

关 键 词：儿童 白血病 淋巴细胞 外周置入中心静脉导管 

分 类 号：R733.71[医药卫生—肿瘤]