化疗结束后输液港维护时间对导管功能及并发症的影响
Effect of Port Maintenance Time on Catheter Function and Complications After Chemotherapy
林丽萍 1赵海军 1林珠豆1
作者信息
- 1. 厦门大学附属第一医院血液科,福建 厦门 361003
- 折叠
摘要
目的 探讨化疗结束后输液港维护时间对导管功能及并发症的影响.方法 选择 2022 年 2 月—2023 年 2 月厦门大学附属第一医院门诊维护输液港的 120 例患者为研究对象,依据随机抽签法将其分为A组(1 个月)、B组(2 个月)、C组(3个月),各 40 例.在化疗疗程结束后对应 1、2、3 个月返院维护输液港,维护时间达 6 个月后评价导管功能及并发症发生情况.结果 A组患者输液港导管通畅率为 97.50%(39/40),B组患者液港导管通畅率为 95.00%(38/40),C组患者液港导管通畅率为 97.50%(39/40),3 组肿瘤患者输液港导管功能比较,差异无统计学意义(χ2=0.683,P＞0.05).A组患者输液港导管血栓率为 25.00%(10/40),B组患者输液港导管血栓率为 20.00%(8/40),C组患者输液港导管血栓率为 25.00%(10/40),3 组肿瘤患者输液港导管血栓形成情况比较,差异无统计学意义(P＞0.05).3 组均未出现导管相关感染、囊袋感染等并发症.结论 规范导管维护的基础上,化疗结束后间隔3 个月维护输液港对于肿瘤患者而言是最为优质的选择,值得进一步推广.
Abstract
Objective To investigate the effect of prolonging the maintenance time of infusion port after chemotherapy on the function of the catheter and the occurrence of complications.Methods A total of 120 patients at the infusion port maintained by the outpatient department of the First Affiliated Hospital of Xiamen University from February 2022 to February 2023 were selected as the study objects and divided into group A(1 month),group B(2 months)and group C(3 months)according to random drawing method,with 40 cases in each group.After the completion of chemotherapy,the patients should return to the hospital every 1 month,2 months and 3 months to maintain the infusion port,and the function of the catheter and the occurrence of complications were evaluated after the maintenance time reached half a year.Results The patency rate of catheters at infusion port of patients in group A was 97.50%(39/40),that of patients in group B was 95.00%(38/40),and that of patients in group C was 97.50%(39/40).There was no statistical significance in the function of catheters at infusion port of cancer patients among the three groups(χ2=0.683,P>0.05).The rate of catheter thrombosis at infusion port in group A was 25.00%(10/40),the rate of catheter thrombosis at infusion port in group B was 20.00%(8/40),and the rate of catheter thrombosis at infusion port in group C was 25.00%(10/40).There was no statistical significance in the formation of catheter thrombosis at infusion port in tumor patients between the three groups(P>0.05).There were no complications such as catheter-related infection and pouch infection in three groups.Conclusion On the basis of standardized catheter maintenance,maintaining infusion port at an interval of 3 months after the end of chemotherapy is the best choice for tumor patients,and it is worthy of further promotion.
关键词
化疗/肿瘤患者/输液港/维护时间/导管功能/并发症Key words
chemotherapy/tumor patient/infusion port/maintenance time/catheter function/complication引用本文复制引用
基金项目
福建省自然科学基金(2020J011239)
出版年
2024
NETL
NSTL
万方数据