心房内心电图技术在乳腺癌患者输液港置管定位中的应用价值  

Application value of atrial electrocardiogram in the location of implantable venous access port in the patients with mammary cancer

作　　者：付琴[1] 丁志娟 殷飞飞 张瑞颖 邵娟 FU Qin;DING Zhi-juan;YIN Fei-fei;ZHANG Rui-ying;SHAO Juan(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22期48-51,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20195450)。

摘　　要：目的探讨心房内心电图技术在乳腺癌患者输液港置管定位中的应用价值。方法选取2019年5月—2020年5月江西省肿瘤医院收治的需置入完全植入式静脉输液港(TIVAP)化疗的88例乳腺癌患者作为研究对象,采用随机数字表法分为试验组和对照组,每组各44例。对照组按常规方法进行TIVAP定位和置管,试验组则在心房内心电图技术辅助下进行TIVAP的定位和置管。比较两组的一次性置管成功率,以胸部X线片确定置管后导管尖端的位置,比较两组的导管尖端定位准确率,并统计置管相关并发症发生情况和患者置管满意度情况。结果试验组的一次性置管成功率和导管尖端定位准确率均高于对照组,差异有统计学意义(P<0.05)。试验组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论在乳腺癌患者输液港置管,应用心房内心电图技术引导下进行定位置管,能提高导管尖端位置定位的准确性,减少相关并发症,提高置管成功率和患者满意度。Objective To explore the application value of atrial electrocardiogram in the location of implantable venous access port in the patients with mammary cancer.Methods From May 2019 to May 2020,a total of 88 patients with mammary cancer who were to treated with totally implantable venous access ports(TIVAP)chemotherapy admitted to Jiangxi Cancer Hospital were selected as the research objects,and divided into the experimental group and the control group according to the random number table method,with 44 cases in each group.In the control group,TIVAP was located and catheterized with conventional methods,while in the experimental group,TIVAP was located and catheterized with the assistance of atrial electrocardiogram.The success rate of one-time catheterization was compared between the two groups,the position of catheter tip was determined by chest X-ray film as control,the accuracy of catheter tip positioning was compared between the two groups,and the complications related to catheterization and satisfaction of patients with catheterization were counted.Results The success rate of one-time catheterization and the accuracy of catheter tip positioning in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,with statistically difference(P<0.05).The total satisfaction of the experimental group was higher than that of the control group,with statistically difference(P<0.05).Conclusion Catheter placement in the infusion port of mammary cancer patients under the guidance of atrial electrocardiogram can improve the accuracy of catheter tip location,reduce related complications,and improve the success rate of catheter placement and patient satisfaction.

关 键 词：心房内心电图 乳腺癌 输液港 定位 并发症 

分 类 号：R472.9[医药卫生—护理学]