经外周静脉与锁骨下静脉穿刺置管在恶性肿瘤患者中的应用比较  

Comparison of the application of peripherally inserted subclavian vein catheterization in patients with malignant tumor

作　　者：邹玉芬[1] 张华香[1] 

机构地区：[1]赣南医学院第一附属医院肿瘤科,江西赣州341000

出　　处：《中国当代医药》2017年第16期171-173,共3页China Modern Medicine

摘　　要：目的比较经外周置入中心静脉导管(PICC)与经锁骨下静脉置入中心静脉导管(CVC)两种方法在中晚期肿瘤患者化疗中的应用效果。方法选取我科2015年1月~2016年1月间接受化疗的中晚期恶性肿瘤患者142例,随机数字表法分为两组,72例行外周静脉穿刺置管(观察组),72例行锁骨下静脉穿刺置管(对照组),比较两组在一次性置管成功率、导管留置时间及并发症发生率。结果两组患者一次性置管成功率(95.8%vs.90.3%)、导管留置时间[(70.52±33.54)d vs.(76.01±36.47)d]比较,差异无统计学意义(P>0.05)。观察组并发症发生率(9.7%)低于对照组患者(22.2%),差异有统计学意义(P<0.05)。结论 PICC置管对降低中晚期化疗患者并发症发生率有良好效果,同时在导管留置成功率等指标上无不良影响,值得临床推广。Objective To compare the effect of peripheral catheterization （PICC） and subclavian vein implantation in cen- tral venous catheters （CVC） in patients with malignant tumor.Methods 142 patients with advanced malignant tumor re- ceived chemotherapy in our hospital from from January 2015 to January 2016 were selected and divided into two groups according to random numbers table method,72 patients were given peripheral vein puncture （the observation group）,72 pa- tients were given clavicle （the control group）.The one-time success rate,catheter indwelling time and incidence of com- plications were compared were compared between two groups.Results There were no statistically significant differences of one-time success rate （95.8% vs. 90.3%）,the catheter indwelling time [（70.52±33.54） d vs.（76.01 ±36.47）d] between two groups （P〉0.05）.The incidence of complications in the observation group （9.7%） was lower than that in the control group （22.2%）,and the difference was statistically significant （P〈0.05）.Conclusion PICC catheterization has a good ef- fect on reducing the incidence of complications in patients with advanced chemotherapy, and it has no adverse effect on the success rate of catheter retention and so on. It is worthy to be popularized.

关 键 词：经外周置入中心静脉导管 锁骨下静脉置管 恶性肿瘤患者 

分 类 号：R473.73[医药卫生—护理学]