植入式静脉输液港与PICC在妇科恶性肿瘤化疗患者中的应用效果对比
Comparison of the efficacy of implantable intravenous infusion port and PICC in patients with gynecological malignant tumors undergoing chemotherapy
乐正红 1董燕1
作者信息
- 1. 扬州市江都人民医院 妇科,江苏 扬州 225200
- 折叠
摘要
目的 对比分析妇科恶性肿瘤化疗患者应用植入式静脉输液港与经外周静脉穿刺中心静脉置管(PICC)的效果.方法 选择于本院进行化疗的妇科恶性肿瘤患者60例,采用随机数字表法分为对照组及观察组,每组30例.对照组采用PICC行静脉化疗,观察组采用植入式静脉输液港行静脉化疗.比较两组患者的导管穿刺与留置情况、置管维护时间与导管留置时间、并发症发生情况.结果 两组一次性置管成功率比较,差异无统计学意义(P＞0.05).相较于对照组,观察组导管留置率更高,意外拔管率更低,置管维护时间更短,导管留置时间更长(P＜0.05).观察组置管期间并发症发生率为6.67％,低于对照组的40.00％(P＜0.05).结论 妇科恶性肿瘤化疗患者采用植入式静脉输液港,相较于PICC,其导管维护时间更短,留置时间更长,可避免反复穿刺造成的疼痛,且并发症发生率更低,值得临床推广使用.
Abstract
Objective To compare and analyze the effect of implantable intravenous infusion port and peripherally inserted central venous catheters(PICC)in patients with gynecological malignant tumor underwent chemotherapy.Methods 60 gynecological malignant tumor patients ungerwent chemotherapy in the hospital were selected and were divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group received intravenous chemotherapy with PICC,and the observation group received intravenous chemotherapy with implantable intravenous infusion port.The catheterization and indwelling,catheterization maintenance time and catheter indwelling time,and complications were compared between the two groups.Results There was no significant difference in the success rate of one-time catheterization between the two groups(P＞0.05).Compared with the control group,the catheter retention rates in the observation group were higher,the rate of accidental extubation was lower,the catheterization maintenance time was shorter,and the catheter indwelling time was longer(P＜0.05).The incidence of complications during catheterization in the observation group was 6.67％,lower than 40.00％in the control group(P＜0.05).Conclusion Compared with PICC,implantable intravenous infusion port for patients with gynecological malignant tumor ungergoing chemotherapy has shorter catheter maintenance time and longer indentation time,which can avoid pain caused by repeated puncture and lower complication rate,and is worthy of clinical promotion.
关键词
妇科恶性肿瘤/化疗/植入式静脉输液港/外周静脉穿刺中心静脉置管/并发症Key words
Gynecological malignancy/Chemotherapy/Implantable intravenous infusion port/Peripherally inserted central venous catheters/Complications引用本文复制引用
出版年
2024
NETL
NSTL
万方数据