植入式静脉输液港在乳腺癌化疗患者中的应用评价及并发症情况研究  

Application evaluation and complications of implantable intravenous infusion port in patients with breast cancer undergoing chemotherapy

作　　者：付琴[1] 刘丽娜 刘莉琴 程晓丹[1] 刘丹平 FU Qin;LIU Li-na;LIU Li-qin;CHENG Xiao-dan;LIU Dan-ping(Department of Breast Surgery,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang330029,China)

机构地区：[1]江西省肿瘤医院乳腺外科,江西南昌330029

出　　处：《中国当代医药》2021年第11期210-212,220,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20203553)。

摘　　要：目的研究植入式静脉输液港(VAP)在乳腺癌化疗患者中的应用评价及并发症发生情况。方法选取2017年1月~2019年12月江西省肿瘤医院收治的100名乳腺癌化疗患者作为研究对象,随机分为对照组(50例)和观察组(50例)。对照组采用中心静脉置管,观察组采用VAP置管。比较两组的生活质量及并发症发生情况。结果置管前,两组的生活质量比较,差异无统计学意义(P>0.05)。置管后,两组的生理功能、情感职能、精神健康、生理健康、心理健康评分低于置管前,躯体疼痛评分高于置管前,差异均有统计学意义(P<0.05)。观察组置管化疗后的健康总体自评、活力、社会功能、情感职能、精神健康、心理健康评分高于对照组,差异均有统计学意义(P<0.05);两组置管化疗后的生理功能、生理职能、躯体疼痛、生理健康评分比较,差异无统计学意义(P>0.05)。两组的导管故障、导管相关性血栓、穿刺处感染、非计划拔管等并发症总发生率比较,差异无统计学意义(P>0.05)。结论采用VAP治疗乳腺癌患者,可明显提高患者的生活质量,有临床应用价值。Objective To study the application evaluation and complications of implantable intravenous infusion port(VAP)in breast cancer patients undergoing chemotherapy.Methods A total of 100 breast cancer patients who received chemotherapy in Jiangxi Cancer Hospital from January 2017 to December 2019 were selected and randomly divided into the control group(n=50)and the observation group(n=50).Central venous catheterization was used in the control group and VAP catheterization was used in the observation group.The quality of life and complications of the two groups were compared.Results There was no significant difference in the quality of life between two group before catheterization(P>0.05).After catheterization,the scores of physiological function,emotional function,mental health,physical health and mental health of the two groups were lower than those before catheterization,while the score of physical pain was higher than that before catheterization,and the differences were statistically significant(P<0.05).The scores of overall health self-evaluation,vitality,social function,emotional function,mental health mental health in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There were no significant difference in the scores of physiological function,physiological function,body pain physical health between the two groups(P>0.05).There was no significant difference in the total incidence of catheter failure,catheter-related thrombus,puncture site infection,unplanned extubation and other complications between the two groups(P>0.05).Conclusion VAP can significantly improve the quality of life of patients with breast cancer and has clinical application value.

关 键 词：植入式静脉输液港 乳腺癌 化疗 

分 类 号：R473.73[医药卫生—护理学]