PICC与VPA在白血病化疗患者中的应用比较及护理要点  

Comparison of application and key nursing points of PICC and VPA in chemotherapy for patients with leukemia

作　　者：李娟[1] 王惠[2] 叶海瑛[1] 

机构地区：[1]江苏省淮安市第二人民医院血液科,江苏淮安223002 [2]江苏省淮安市第二人民医院妇科,江苏淮安223002

出　　处：《中西医结合护理（中英文）》2016年第8期39-41,共3页Journal of Clinical Nursing in Practice

摘　　要：目的比较经外周静脉穿刺置入中心静脉导管(PICC)与植入式静脉输液港(VPA)在白血病化疗患者中的应用效果及护理要点。方法选取白血病化疗患者83例,依据置管方式将其分为PICC组(n=42)和VPA组(n=41),比较2组置管情况、患者对导管使用服务的评分及化疗后的生活质量,记录2组化疗过程中相关并发症的发生情况。结果 VPA组导管平均日常维护时间短于PICC组,而平均导管留置时间长于PICC组(P<0.05或P<0.01);PICC组1次置管成功率显著高于VPA组(P<0.05);生活质量方面,VPA组除经济困难维度得分外,其余各维度得分及总体健康状况评分均高于PICC组,但2组间差异无统计学意义(P>0.05);VPA组临床服务检验问卷各维度得分均显著高于PICC组(P<0.01);PICC组并发症发生率显著高于VAP组(P<0.05)。结论白血病化疗患者VPA留置时间长、并发症少,且可改善患者化疗后的生活质量。Objective To compare the application efficacy and key nursing points of periph- erally inserted central catheter （PICC） and venous port access （VPA） in the chemotherapy for pa- tients with leukemia. Methods A total of 83 patients with leukemia were selected and randomly di- vided into PICC group （n =42） and VPA group （n = 41 ）. Cathetering condition, satisfactory degree of patients on catheter-using serves and post-chemotherapeutic quality of life （QOL） were compared between two groups, and the occurrence rates of chemotherapy-associated complications were recorded in both groups. Results Compared with PICC group, VPA group was markedly shorter in average daily catheter-maintaining time and notably longer in average catheter-indwelling time （ P 〈 0.05 or P 〈 0.01 ）. However, PICC group was apparently higher than VPA group in disposable catheter-indwell- ing rate （P 〈 0.05 ）. As to QOL scores, except on dimension of financial difficulty, other score of each dimension and the total healthy status score were prominently higher in VPA group than those in PICC group, but there was no significant difference （P 〉 0.05 ）. VPA group was obviously higher than PICC group in score on each clinical serve survey questionnaire dimension （P 〈 0.01 ）. Moreover, PICC group was significantly higher than VPA group in the total rate of complications （P 〈 0. 05 ）. Conclusion VPA is long in indwelling time and low in rates of complications of patients with leukemi- a undergoing chemotherapy, and can significantly improve their post-chemotherapeutic QOL .

关 键 词：白血病 化疗 PICC VPA 生活质量 护理 

分 类 号：R472.9[医药卫生—护理学]