首页|中心静脉置管在肿瘤内科临床治疗中的应用价值探讨

中心静脉置管在肿瘤内科临床治疗中的应用价值探讨

扫码查看
目的 研究并探讨中心静脉置管(CVC)应用于肿瘤内科临床治疗中的作用。方法 选取住院接受治疗的 480 例肿瘤内科患者,以电脑随机形式分为观察组与对照组,每组 240 例。对照组采取经外周静脉置入中心静脉导管(PICC)给药方案,观察组采取CVC给药方案。对比两组置管情况、并发症发生率、生活质量及患者满意度。结果 观察组的操作时间(16。91±4。03)min与留置时间(24。17±6。91)d均短于对照组的(21。52±2。10)min、(95。72±29。24)d,一次性置管成功率 93。75%高于对照组的 81。67%,差异显著(P<0。05)。观察组的并发症发生率 11。67%低于对照组的 42。92%,差异显著(P<0。05)。观察组生理功能、躯体疼痛、情绪职能、社会功能、总体健康评分分别为(96。72±1。38)、(96。55±1。77)、(95。82±1。33)、(96。18±1。37)、(95。86±1。33)分,均高于对照组的(80。05±1。37)、(80。33±1。59)、(80。28±1。76)、(80。36±1。99)、(80。18±1。77)分,差异显著(P<0。05)。观察组的综合满意率 91。67%高于对照组的 62。08%,差异显著(P<0。05)。结论 CVC在肿瘤内科临床治疗中的应用有着积极意义,该方法具备操作简便快捷,安全性较高等优势,不仅能够强化并发症预防效果,还有助于提高患者生活质量,改善医患关系,值得临床推广。
Exploration of the application value of central venous catheter in clinical treatment of medical oncology
Objective To study and explore the role of central venous catheter(CVC)in clinical treatment of medical oncology.Methods 480 patients in the medical oncology department who were hospitalized for treatment were divided into an observation group and a control group using a computer-generated randomization method,each with 240 cases.The control group received peripherally inserted central catheter(PICC)regimen,and the study group received CVC regimen.The two groups were compared in terms of placement of catheters,incidence of complications,quality of life,and patient satisfaction.Results The observation group had operation time of(16.91±4.03)min and indwelling time of(24.17±6.91)d,which were shorter than(21.52±2.10)min and(95.72±29.24)d in the control group;the success rate of one-time catheterization of 93.75% in the observation group was higher than 81.67% in the control group;the difference was significant(P<0.05).The complication rate of 11.67% in the observation group was lower than 42.92% in the control group,and the difference was significant(P<0.05).The scores of physiological function,bodily pain,emotional function,social function and overall health in the observation group were(96.72±1.38),(96.55±1.77),(95.82±1.33),(96.18±1.37)and(95.86±1.33)points,which were higher than(80.05±1.37),(80.33±1.59),(80.28±1.76),(80.36±1.99)and(80.18±1.77)points in the control group,and the difference was significant(P<0.05).The comprehensive satisfaction rate of 91.67% in the observation group was higher than 62.08% in the control group,and the difference was significant(P<0.05).Conclusion The application of CVC in the clinical treatment of medical oncology has positive significance.This method has advantages such as simple and fast operation,high safety.It can not only enhance the prevention of complications,but also help improve the quality of life of patients and improve doctor-patient relationships,which is worthy of clinical promotion.

Central venous catheterMedical oncologyApplication value

宋西明

展开 >

362200 晋江市医院(上海市第六人民医院福建医院)

中心静脉置管 肿瘤内科 应用价值

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(18)