逆向法定位穿刺点在蝶翼针植入输液港中的应用  

Application of reverse positioning puncture point in butterfly wing needle implantation in infusion port

作　　者：陈泽玲 刘慧 CHEN Zeling;LIU Hui(Department of Breast,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市妇幼保健院乳腺科,江西赣州341000

出　　处：《中国当代医药》2024年第8期175-178,182,共5页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2021ZSF 300)。

摘　　要：目的探讨逆向法定位穿刺点在蝶翼针植入输液港中的应用效果,通过输液港导管逆向法定位确定蝶翼针在注射座植入位置,明确其效果和可行性。方法选取2019年10月至2023年2月赣州市妇幼保健院收治的100例乳腺癌行输液港化疗患者为研究对象,采用随机数字表法将其分为对照组与试验组,每组各50例。对照组采用穿刺点正向定位;试验组采用逆向法定位。比较两组患者的穿刺次数、置管平均耗时、插针时视觉模拟评分法(VAS)评分、一次性植入成功率、穿刺并发症发生率、投诉率和穿刺前及1个化疗周期后的健康调查简表(SF-36)得分、日常生活活动能力量表(ADL)得分、满意度。结果试验组的穿刺次数少于对照组,置管平均耗时短于对照组,插针时VAS评分低于对照组,差异有统计学意义(P<0.05)。试验组的一次性植入成功率高于对照组,穿刺并发症总发生率、投诉率均低于对照组,差异有统计学意义(P<0.05)。1个化疗周期后,两组的ADL、SF-36评分均高于本组穿刺前,且试验组的SF-36、ADL、满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论通过输液港导管逆向法定位确定蝶翼针在注射座植入位置,可提高穿刺成功率和减少穿刺引起的并发症,同时降低插针时的疼痛程度和缩短拔针时间,患者满意度高。Objective To explore the application effect of reverse positioning puncture point in the butterfly wing needle implantation at the infusion port,and to determine the placement of the sphenoid pterion needle on the injection seat by reverse positioning of the infusion port catheter,and to clarify its effect and feasibility.Methods A total of 100 patients with breast cancer who underwent infusion port chemotherapy treated in Ganzhou Women and Children's Health Care Hospital from October 2019 to February 2023 were selected as the study objects.According to the random number table method,they were divided into control group and experimental group,with 50 cases in each group.The puncture point was positioned forward in the control group.While the experimental group was positioned by reverse method.The number of puncturing,the average time of catheterization,the visual analogue scale(VAS)score during needle insertion,the success rate of one-time implantation,the incidence of puncture complications,the complaint rate,the scores of the MOS item short form health survey(SF-36)and the activities of daily living scale(ADL)before puncture and after one chemotherapy cycle,and the satisfaction of patients were compared between the two groups.Results The number of punctures in the experimental group was less than that in the control group,the average time of catheterization was shorter than that in the control group,and the VAS score during needle insertion was lower than that in the control group,and the differences were statistically significant(P<0.05).The one-time success rate of implantation in the experimental group was higher than that in the control group,and the total incidence of puncture complications and complaint rate were lower than those in the control group,and the differences were statistically significant(P<0.05).After one chemotherapy cycle,the ADL and SF-36 scores of the two groups were higher than those before puncture,and the SF-36,ADL and satisfaction scores of the experimental group were higher than thos

关 键 词：逆向法定位 穿刺点 蝶翼针 植入输液港 注射座位置 

分 类 号：R472[医药卫生—护理学]