PICC和PORT静脉输液技术综合输液效果比较  

Comparison of the comprehensive infusion effects of PICC and PORT intravenous infusion techniques

作　　者：周英凤[1] 王凯蓉 陆箴琦[2] 张晓菊[2] 薛嵋[2] 王丽英[2] Zhou Yingfeng;Wang Kairong;Lu Zhenqi;Zhang Xiaoju;Xue Mei;Wang Liying(School of Nursing,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学护理学院/复旦大学JBI循证护理合作中心,上海200032 [2]复旦大学附属肿瘤医院

出　　处：《护理学杂志》2023年第1期64-68,共5页Journal of Nursing Science

基　　金：卫生部卫生技术评估重点实验室(复旦大学)2017年开放基金资助项目(FHTA2017-05)。

摘　　要：目的对PICC和PORT的综合效果指数进行测算,以评价两种中心静脉输液技术的综合输液效果。方法抽取上海市某三级甲等医院采用PICC或PORT行中长期静脉输液的肿瘤患者为研究对象,通过回顾性队列研究和横断面调查收集两种静脉输液技术的安全性、有效性及患者体验相关指标,测算并比较两种中心静脉输液技术在总留置时间、留置3~个月、6~个月及9~12个月的综合效果指数。结果PICC和PORT置管患者分别纳入377例、293例,PICC留置时间显著短于PORT,置管及维护过程中次要并发症发生率显著高于PORT,生活质量得分显著低于PORT(均P<0.05)。PICC在总留置时间、留置3~个月、6~个月及9~12个月的综合效果指数值均小于PORT。结论PORT的综合输液效果优于PICC,从输液效果角度,建议优先选择PORT作为中长期静脉输液的血管管路。Objective To compare the comprehensive infusion effects of PICC and PORT by measuring the comprehensive effectiveness index for the two central venous catheters.Methods Tumor patients using PICC or PORT for medium and long-term intravenous infusion in a tertiary grade A hospital in Shanghai were selected.Relevant indicators reflecting the safety,efficacy and patient experience of the two intravenous infusion techniques were collected through a retrospective cohort study and a cross-sectional survey.The comprehensive effectiveness index was calculated to compare the effectiveness for PICC and PORT at the total dwelling time,3~months,6~months and 9~12months,respectively.Results A total of 377patients with PICC and 293with PORT were included.The indwelling time of PICC was shorter than PORT,and the incidence of secondary complications during catheterization and maintenance for PICC was significantly higher than that of PORT.The quality of life for PICC was slightly lower than PORT(all P<0.05).The comprehensive effectiveness indexes of PICC were lower than those in the PORT at the total dwelling time,3~months,6~months and 9~12months.Conclusion The comprehensive infusion effect of PORT is better than that of PICC.It is recommended to give preference to PORT as the vascular access for medium and long-term intravenous infusion from the point of effectiveness.

关 键 词：肿瘤 静脉治疗 中心静脉输液 经外周置入中心静脉导管 植入式静脉输液港 综合效果指数 经济学评价 

分 类 号：R472[医药卫生—护理学]