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作 者:张莉[1]
机构地区:[1]四川省宜宾市第二人民医院肿瘤科,四川宜宾644000
出 处:《护士进修杂志》2017年第1期72-75,共4页Journal of Nurses Training
摘 要:目的探讨上腔静脉梗阻的肿瘤患者经股静脉置入PICC管的应用效果。方法选择2014年1—12月在我院治疗的肿瘤患者328例,均准备接受化疗而行PICC置管,将其中置管途径为上臂贵要静脉的患者256例设为对照组;其他因上腔静脉梗阻置管途径改为股静脉的72例患者设为观察组,比较两组置管操作情况、导管留置时间与置管并发症。结果两组一次穿刺成功率、操作时间、疼痛程度无明显差异(P>0.05);观察组一次置管成功率(98.61%)高于对照组(79.69%),出血量评分观察(2.48±0.68)分低于对照组(3.12±0.72)分(P<0.05);观察组导管留置时间为(193.34±47.32)d,对照组为(185.33±52.42)d,两组差异无统计学意义(P>0.05);观察组并发症发生率(9.72%)与对照组(10.16%)差异无统计学意义(P>0.05)。结论经股静脉置入PICC导管安全可行,适用于上腔静脉梗阻患者。Objective To investigate the effect of femoral vein PICC catheterization in tumor patients with obstruction of superior vena cava.Methods 328 malignant tumor patients who need chemotherapy and were going to receive PICC insertion in our hospital from Jan 2014 to Dec 2014 were selected for the study.Among them,256 patients who were going to receive PICC insertion through upper limb basilica vein were assigned as control group,and 72 patients who were going to receive PICC insertion through femoral vein were assigned as observation group.the catheterization operation index,the PICC retention time,the incidence rate of complications of the 2 groups were compared.Results there are no differences in the one-time puncture success rate,pain score,PICC insertion operation time between the 2 group( P0.05); the one-time insertion success rate( 98.61%) in observation group were higher than that in control group( 79.69%)( P0.05); the bleeding score in observation group( 2.48±0.68) were lower than that in control group( 3.12± 0.72)( P 0.05); there is no difference in the PICC retention time between the 2 groups( 193.34±47. 32 d VS 185.33±52.42 d)( P0.05)( P0.05); there is no difference in the incidence rate of complications between the two group( 9.72% VS 10.16%)( P0.05).Conclusion Femoral vein PICC catheterization is safe and effective,feasible for tumor patients with obstruction of superior vena cava.
关 键 词:恶性肿瘤 上腔静脉梗阻 经外围静脉穿刺中心静置管 护理
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