两种肠外营养输注方式应用于老年胃癌患者的效果  

Clinical observation of application of two parenteral nutrition infusion methods to elderly patients with gastric cancer

作　　者：王姗[1] 蔡艳[1] 曹耀菊 梁贤芳[1] 李娟[1] 王灿灿[1] 

机构地区：[1]蚌埠医学院第一附属医院胃肠外科,安徽蚌埠233000

出　　处：《包头医学院学报》2016年第5期21-23,共3页Journal of Baotou Medical College

摘　　要：目的:观察并比较经外周置入中心静脉导管(peripherally inserted central catheter,PICC)与浅静脉留置针进行肠外营养在老年胃癌患者中的应用效果。方法:将90例老年胃癌患者随机分成观察组45例和对照组45例,观察组采用PICC置管输入肠外营养;对照组采用外周浅静脉留置针输入肠外营养。观察两组患者置管并发症的发生情况。结果:观察组组发生静脉炎、局部肿胀、局部渗血、渗液、局部疼痛等并发症的发生率均低于对照组(P<0.05)。结论:采用PICC置管输入肠外营养能有效保护血管,降低静脉炎等并发症的发生率,值得临床推广使用。Objective： To observe and compare the application effects of peripherally inserted central catheter（ PICC） and superficial vein retained needle for parenteral nutrition on elderly patients with gastric cancer. Method： 90 cases of elderly patients with gastric cancer were randomly divided into observation group and control group,45 cases in each group. The patients in the observation group were treated with PICC for parenteral nutrition while in the control group treated with superficial vein retained needle. The occurrence of complications around the catheter of the two groups was observed. Results： The occurrences of complications in the observation group（ PICC） were significantly lower than those in the control group in phlebitis,local swelling,local bleeding,cataclysm and local pain（ P 〈 0. 05）. Conclusion： Using PICC for parenteral nutrition can effectively protect the vessels and reduce the occurrence of complications,is worthy of clinical use.

关 键 词：老年胃癌 周围浅静脉留置针 外周置入中心静脉导管 肠外营养 

分 类 号：R473.73[医药卫生—护理学]