股静脉置管对比外周静脉置管在晚期肿瘤患者中的应用  

Application of Femoral Venous Catheterization versus Peripheral Venous Catheterization in the Emergency Management of Critically Ill Patients with Advanced Cancer

作　　者：许晟儒 XU Shengru(The Department of Oncology at Wuhu County People's Hospital,Bengbu 233300,China)

机构地区：[1]五河县人民医院肿瘤科,安徽蚌埠233300

出　　处：《中华灾害救援医学》2024年第6期740-742,共3页Chinese Journal of Disaster Medicine

摘　　要：目的比较股静脉置管和外周静脉置管在肿瘤晚期患者的应用价值。方法选择2019年1月至2023年12月五河县人民医院肿瘤科收治的60例晚期肿瘤患者为研究对象。按照置管途径的不同,分为股静脉置管组(观察组)和外周静脉置管组(对照组),每组均30例。比较两组患者置管相关指标、并发症及生活质量情况。结果观察组患者置管时间显著短于对照组(P<0.001);观察组导管留置时间显著长于对照组(P<0.001);观察组患者一次置管成功率显著高于对照组(P=0.006);观察组患者重新调整置管位置率显著低于对照组(P=0.001)。观察组患者并发症发生率为3.33%,显著低于对照组的33.33%(P=0.003)。观察组患者ECOG评分低于对照组(P<0.001),KPS评分高于对照组(P=0.006)。结论在对肿瘤晚期危重症患者中,相比于外周静脉置管,股静脉置管时间短、一次置管成功率高、并发症少、有利于改善患者生活质量。Objective To compare the application value of femoral vein catheterization and peripheral vein catheterization in patients with advanced-stage cancer.Methods 60patients with advanced cancer admitted to the oncology department of Wuhe County People's Hospital from January 2019 to December 2023 were selected as the research subjects.According to the different catheterization routes,they were div ided into the femoral vein catheterization group(observation group)and the peripheral vein catheterization group(control group),with 30 cases in each group.The catheter-related indicators,complications,and quality of life of the two groups of patients were compared.Results The catheterization time of the observation group was significantly shorter than that of the control group(P<0.001);the catheter indwelling time of the observation group was significantly longer than that of the control group(P<0.001);the one-time success rate of catheterization of the observation group was significantly higher than that of the control group(P=0.006);the rate of readjusting catheter position of the observation group was significantly lower than that of the control group(P=0.001).The incidence of complications in the observation group was 3.33%,which was significantly lower than the incidence of complications(33.33%)in the control group,and the difference was statistically significant(P=0.003).The ECOG score of the observation group was lower than that of the control group(P<0.001),and the KPS score of the observation group was higher than that of the control group(P=0.006).Conclusion In patients with advanced cancer,compared to peripheral vein catheterization,femoral vein catheterization has the advantages of shorter catheterization time,higher one-time success rate,fewer complications,and is beneficial to improve the quality of life of patients.

关 键 词：肿瘤 导管插入术 外周 股静脉 

分 类 号：R730.5[医药卫生—肿瘤]