PICC对比浅静脉留置针在肿瘤患者放化疗中的应用  

PICC versus superficial veinindwelling needle for cancer patients treated with chemo-radiotherapy

作　　者：陈盈盈[1] 林晓玲[1] 卓少君[1] 林琳[1] Chen Yingying;Lin Xiaoling;Zhuo Shaojun;Lin Lin(Department of Radiotherapy for Tumors,Shantou Central Hospital,Shantou 515031,China)

机构地区：[1]汕头市中心医院肿瘤放疗科,515031

出　　处：《国际医药卫生导报》2019年第19期3340-3342,共3页International Medicine and Health Guidance News

摘　　要：目的观察两种静脉输液方式对接受放化疗患者的临床疗效。方法收集本院2018年1月至2019年5月共62例肿瘤患者,所有患者分成两组,各31例。A组采用浅静脉留置针,B组采用PICC置管。记录两组输液过程中静脉炎、过敏、感染的频率以及平均护理费用。比较2种输液方式及其并发症的治疗时间和平均护理费用。结果两组并发症发生率比较,差异无统计学意义(P>0.05);A组出现并发症12例,以静脉炎为主,A组发生静脉炎人数明显多于B组,差异有统计学意义(P<0.05);B组出现并发症11例,以过敏为主,B组皮肤过敏人数明显多于A组,差异有统计学意义(P<0.05)。结论患者放化疗期间建议使用浅静脉留置针输液;而放疗后可行PICC置管,有利于减少化疗过程中静脉炎等并发症。Objective To observe the clinical effect of two kinds of intravenous infusion for patients receiving radiotherapy and chemotherapy.Methods A total of 62 cancer patients treated in our hospital from January,2018 to May,2019 were collected,and were divided into group A(superficial vein indwelling needle;n=31)and B group(PICC;n=31).The frequencies of phlebitis,allergy,and infection and the average nursing cost of the two groups were recorded.The treatment time and average nursing cost of the two infusion methods and their complications were compared.Results There was no statistical difference in the incidence of complications between the two groups(P>0.05).12 cases had complications(mainly phlebitis)in group A.More cases had phlebitis in group A than in group B(P<0.05).11 cases occurred complications(mainly allergy)in group B.More cases had allergy in group B than in group A(P<0.05).Conclusion Superficial vein indwelling needle infusion is recommended during chemo-radiotherapy;and PICC is feasible after radiotherapy,which is beneficial for reducing phlebitis and other complications during chemotherapy.

关 键 词：放化疗 浅静脉留置针 PICC 

分 类 号：R47[医药卫生—护理学]