不同时间置入 PICC 对肿瘤化疗患者静脉炎发生的影响  

Effect of PICC utilization in different time on phlebitis occurrence among tumor patients treated by chemotherapy

作　　者：马平平[1] 许容芳[2] 顾小丽[3] 陆勤美[2] 黄胜[4] 袁丽[5] 

机构地区：[1]江苏省南通市肿瘤医院放疗科,226261 [2]江苏省南通市肿瘤医院护理部,226261 [3]江苏省南通市肿瘤医院门诊,226261 [4]江苏省南通市肿瘤医院内科,226261 [5]江苏省南通市肿瘤医院PICC置管室,226261

出　　处：《中华现代护理杂志》2015年第8期984-986,共3页Chinese Journal of Modern Nursing

基　　金：南通市市级科技计划立项项目（HS13919）

摘　　要：目的：探讨肿瘤化疗患者在不同时间置入 PICC 后,其静脉炎的发生有无差异。方法选取行 PICC 置管的肿瘤患者325例,根据患者置管前是否已经接受过周围静脉化疗分为已化疗组93例和首次化疗组232例,比较两组静脉炎发生率。结果已化疗组患者 PICC 置管后静脉炎的发生率为26．9%,首次化疗组发生率为12.5%,两组比较差异有统计学意义（χ2=9.91,P＜0.05）；两组均未出现Ⅲ级静脉炎,两组患者Ⅰ~Ⅱ级静脉炎恢复时间比较差异无统计学意义（P＞0.05）。结论首次化疗前即选择 PICC 置管,可减少化疗药物对外周静脉的刺激,降低静脉炎的发生率。Objective To explore the difference of PICC utilization in different time on phlebitis occurrence among patients with tumor by chemotherapy. Methods According to peripheral venous chemotherapy, 325 cases had been divided into chemotherapy group （n = 93） and the first time chemotherapy group （n = 232）. We observed the occurrence of patients with phlebitis in two groups after PICC implantation. Results The probability of phlebitis occurrence in patients after PICC placement in chemotherapy group was 26. 9% and that in the first time chemotherapy group was 12. 5% （χ2 = 9. 91,P 〈 0. 05）. ⅠandⅡ grade of phlebitis incidence rates of patients in chemotherapy group were 18. 3% and 8. 6% , but that in the first time chemotherapy group were 9. 5% and 3. 0% （P 〉 0. 05）, there were no Ⅲ grade phlebitis happened in both groups. Conclusions The PICC should be adopted by the patients as early as possible for patient with the first time chemotherapy to reduce the peripheral venous stimulation and reduce the phlebitis occurrence.

关 键 词：PICC 静脉炎 肿瘤 化学疗法 置管时间 

分 类 号：R473.73[医药卫生—护理学]