经锁骨上入路行锁骨下静脉穿刺技术在乳腺癌患者静脉输液港的应用  

Application of subclavian vein puncture through supraclavicular approach in venous transfusion port of breast cancer patients

作　　者：黄志荣[1] HUANG Zhi-rong(Intervention Department,the Fourth People's Hospital of Changzhou City,Changzhou 213000,China)

机构地区：[1]常州市第四人民医院介入科,江苏常州213000

出　　处：《黑龙江医药科学》2022年第4期35-36,39,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨经锁骨上入路行锁骨下静脉穿刺技术在乳腺癌患者静脉输液港的应用效果。方法:选取我院2014-05~2021-05共收治的70例乳腺癌患者作为研究对象,所有患者均进行化疗,将患者随机分为观察组(n=35)与对照组(n=35)。对照组应用PICC置管,观察组应用经锁骨上入路行锁骨下静脉穿刺技术静脉输液港治疗,对比两组患者的置管成功率与并发症发生率,导管留置时间、穿刺时间。结果:观察组患者置管总成功率、一次性成功率明显高于对照组(P<0.05),观察组患者并发症发生率低于对照组(P<0.05);两组患者穿刺时间对比无明显差异(P>0.05),两组患者导管留置时间对比差异显著,观察组高于对照组(P<0.05)。结论:对乳腺癌患者静脉输液港中应用经锁骨上入路行锁骨下静脉穿刺技术能够提升穿刺成功率,减少置管并发症发生率,提升导管留置时间,值得临床应用推广。Objective:To explore the application effect of subclavian vein puncture through supraclavicular approach in patients with breast cancer.Methods:70 cases of breast cancer patients treated in our hospital from May 2014 to May 2021 were selected as the research objects.The patients were randomly divided into the observation group and the control group,35 cases in each group.All patients were treated with intravenous infusion port,the control group was treated with subclavian vein puncture through subclavian approach,and the observation group was treated with subclavian vein puncture through supraclavicular approach.The success rate of catheterization,complication rate,catheter indwelling time,puncture time and average blood flow rate of axillary vein were compared between the two groups.Results:The total success rate and one-time success rate of the observation group were significantly higher than those of the control group(P<0.05),and the complication rate of the observation group was significantly lower than that of the control group(P<0.05);There was no significant difference in puncture time and average blood flow velocity of axillary vein between the two groups(P>0.05),but there was significant difference in catheter indwelling time between the two groups,and the observation group was significantly higher than the control group(P<0.05).Conclusion:The application of subclavian vein puncture through the supraclavicular approach can improve the success rate of puncture,reduce the incidence of catheter complications and improve the catheter retention time.It is worthy of clinical application and promotion.

关 键 词：静脉穿刺 锁骨下静脉穿刺 乳腺癌 静脉输液港 

分 类 号：R737.9[医药卫生—肿瘤]