乳腺癌患者延长输液港无损伤针使用时间的效果研究  

Study on the effect of prolonging the use time of non-corng needles in totally implantable venous access ports in patients with breast cancer

作　　者：侯健文 胡泽盈[1,2] 章敏 于丽 谢玲女 HOU Jianwen;HU Zeying;ZHANG Min;YU Li;XIE Lingnyu(Head and Neck Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China;Institute of Basic Medicine and Cancer(IBMC),Chinese Academy of Sciences,Hangzhou 310022,Zhejiang,China)

机构地区：[1]浙江省肿瘤医院头颈外科,浙江杭州310022 [2]中国科学院基础医学与肿瘤研究所,浙江杭州310022

出　　处：《中国现代医生》2024年第12期64-66,90,共4页China Modern Doctor

摘　　要：目的探讨乳腺癌患者延长输液港无损伤针使用时间的可行性和安全性。方法采用便利取样法选取2022年6月至12月浙江省肿瘤医院100例植入胸壁输液港的乳腺癌患者,根据拔除无损伤针时间按随机数字表法将患者均分为7d组和8d组。比较两组患者的导管功能、导管相关并发症、舒适度及成本。结果两组患者输液港导管回抽均有回血且冲管顺利;7d组1例和8d组2例患者出现局部皮肤过敏;7d组患者舒适度测评中舒适占比86%,8d组患者舒适占比90%,差异均无统计学意义(P>0.05);7d组人均输液港维护费用高于8d组,差异有统计学意义(P<0.05)。结论在一定情况下经护士评估后可适当延长乳腺癌患者输液港无损伤针使用时间,以提高工作效率,减少费用。Objective To explore the feasibility and safety of prolonging the use time of non-corng needles in totally implantable venous access ports for patients with breast cancer.Methods A total of 100 breast cancer patients implanted in the chest wall totally implantable venous access ports of Zhejiang Cancer Hospital in June to December 2022 were randomly divided equally into 7-day group and 8-day group by means of random number table according to the time of removing the non-destructive needle.Catheter function evaluation,catheter-related complications,comfort evaluation and cost calculation were used for investigation and analysis.Results In both groups,blood was returned from the infusion port catheter and the catheter flushed smoothly.There were 1 case of local skin allergy in 7-day group and 2 cases in 8-day group.In the comfort evaluation,comfort accounted for 86% in 7d group and 90% in 8d group,and the difference was not statistically significant(P>0.05).The maintenance cost of the infusion port per capita in the 7d group was higher than that in the 8d group,and the difference was statistically significant(P<0.05).Conclusion Under certain circumstances,after evaluation by nurses,the use time of non-corng needles in totally implantable venous access ports of breast cancer patients can be appropriately prolonged,which can improve work efficiency and reduce costs.

关 键 词：乳腺癌 输液港 无损伤针 成本分析 

分 类 号：R473[医药卫生—护理学]