植入式静脉输液港与经外周静脉穿刺中心静脉置管在老年乳腺癌患者化疗中的应用比较  

The application of implantable venous access port and peripherally inserted central catheter in chemotherapy of elderly patients with breast cancer

作　　者：郭彩霞[1] 潘欢[1] 肖琼[1] 单清艳 邓永红[1] 吴斯靖 

机构地区：[1]南方医科大学附属何贤纪念医院外科,广州511400

出　　处：《国际医药卫生导报》2015年第2期251-253,261,共4页International Medicine and Health Guidance News

摘　　要：目的探讨植入式静脉输液港（VAP）与经外周静脉穿刺中心静脉置管（PICC）在老年乳腺癌患者化疗中的应用，比较两种置管方法的临床价值。方法将2010年6月至2014年6月确诊乳腺癌需行静脉化疗的老年患者85例，分为VAP组（39例）和PICC组（46例）。观察并记录两组患者一次性置管成功率和导管相关并发症发生率。结果VAP组一次性置管成功率为87．2％（34／39），低于PICC组的93．5％（43／46），两组比较差异无统计学意义（P〉0．05）。VAP组的导管相关并发症发生率为5．1％（2／39），低于PICC组的21．7％（10／46），两组比较差异有统计学意义（P〈0．05）。结论VAP的一次性置管成功率略低于PICC，但其导管相关并发症发生率更低，痛苦少，耐受性好，条件允许隋况下推荐使用VAP作为老年乳腺癌患者静脉化疗的理想通路。Objective To compare the clinical value of implantable venous-access port （VAP） and peripherally inserted central catheter （PICC） in chemotherapy of elderly patients with breast cancer. Methods 85 elderly patients diagnosed with breast cancer who received intravenous chemotherapy from June 2010 to June 2014 were divided into VAP group （39 cases） and PICC group （46 cases）. Successful one-time catheterization rate and complication rate during intravenous chemotherapy were compared. Results The successful one-time catheterization rate in VAP group was 87.2% （34/39）, lower than 93.5% （43/46） in PICC group, without statistically significant difference （P 〉 0.05）. Complication rate in VAP group was lower than that in PICC group [5.1% （2/39） vs.21.7% （10/46）], with statistically significant difference （P 〈 0.05）. Conclusions Compared with PICC, VAP had a slightly lower successful one-time catheterization rate, a much lower catheter related complication rate, less pain, good tolerance. If condition permitted, VAP is recommended as the ideal path of intravenous chemotherapy for elderly patients with breast cancer.

关 键 词：植入式静脉输液港 乳腺肿瘤 导管插入术 中心静脉 老年人 

分 类 号：R473.73[医药卫生—护理学]