Comparison of the practical effects of implantable venous access port and peripherally inserted central catheter in leukemia patients
Objective To compare the practical effects between implantable venous access port and peripherally inserted central catheter in leukemia patients in patients undergoing chemotherapy for leukemia.Methods A total of 90 leukemia patients who received chemotherapy were selected as study subjects and divided into the study group and the control group according to the differences in the way of intervention,with 45 patients in each group.Patients in the control group used peripherally inserted central catheter,while patients in the study group used implantable venous access port.Both groups were compared in terms of success rate of one catheterization,the rate of catheter retention after1,3,6 and 12 months of catheterization,the rate of accidental extubation and the incidence of complications within 12 months of catheterization,and the quality of life score and service satisfaction score after 12 months of catheterization.Results The success rate of one catheterization in the study group was 80.00%(36/45),which was significantly lower than 95.56%(43/45)in the control group(P＜0.05).After 1 month of catheterization,the rate of catheter retention of the two groups was not statistically significant(P＞0.05).After 3,6 and 12 months of catheterization,the rate of catheter retention in the study group were 93.33%,68.89%and 44.44%,which were higher than 53.33%,26.67%and 0 in the control group(P＜0.05).At 12 months follow-up,there were no cases of accidental extubation in the study group,but 4 cases(8.89%)in the control group;the rate of accidental extubation of the study group was lower than the control group(P＜0.05).At 12 months follow-up,the incidence of complications of the study group was 4.44%(2/45),which was significantly lower than 48.89%(22/45)of the control group(P＜0.05).After 12 months of catheterization,the scores of quality of life and service satisfaction of patients in the study group were(123.65±20.15)and(86.53±4.16)points,which were significantly higher than(101.23±15.60)and(79.63±3.56)points in the control group(P＜0.05).Conclusion Compared with peripherally inserted central catheter,although the success rate of one catheterization of implantable venous access port is lower,the rate of catheter retention subsequent is significantly higher,the rate of accidental extubation and the incidence of various complications are lower,and it is helpful to improve the long-term quality of life and service satisfaction of patients,suggesting clinical promotion and application.
Implantable venous access portPeripherally inserted central catheterLeukemiaChemotherapyAccidental extubationCatheter retention rate
NETL
NSTL
万方数据
维普
