CAJ | 학술논문

目的：探讨经外周植入中心静脉导管(PICC)置管在恶性肿瘤患者化疗中的应用效果。方法选取本院肿瘤科2013年10月~2014年6月收治的105例恶性肿瘤患者,将患者随机分为两组院PICC置管组53例,外周静脉置管组52例。观察两组的一次性置管成功率、置管保留时间及化疗药物刺激所致外渗及静脉炎等并发症的发生率。结果 PICC置管组的一次性置管成功率为94.3%(50/53),外周静脉置管组为82.7%(43/52),两组差异无统计学意义(P跃0.05)；PICC置管组的置管保留时间为(112.57±6.91)d,长于外周静脉置管组的(1.7±1.1)d (P<0.01)；PICC置管组的化疗药物刺激所致不同程度的外渗及静脉炎发生率为0,外周静脉置管组为48.1%(25/52),两组差异有统计学意义(P<0.01)。结论 PICC置管安全可靠,可提高护理质量,是晚期恶性肿瘤患者化疗较为理想的静脉途径,值得临床推广应用。
목적：탐토경외주식입중심정맥도관(PICC)치관재악성종류환자화료중적응용효과。방법선취본원종류과2013년10월~2014년6월수치적105례악성종류환자,장환자수궤분위량조원PICC치관조53례,외주정맥치관조52례。관찰량조적일차성치관성공솔、치관보류시간급화료약물자격소치외삼급정맥염등병발증적발생솔。결과 PICC치관조적일차성치관성공솔위94.3%(50/53),외주정맥치관조위82.7%(43/52),량조차이무통계학의의(P약0.05)；PICC치관조적치관보류시간위(112.57±6.91)d,장우외주정맥치관조적(1.7±1.1)d (P<0.01)；PICC치관조적화료약물자격소치불동정도적외삼급정맥염발생솔위0,외주정맥치관조위48.1%(25/52),량조차이유통계학의의(P<0.01)。결론 PICC치관안전가고,가제고호리질량,시만기악성종류환자화료교위이상적정맥도경,치득림상추엄응용。
Objective To explore the application effect of PICC in the chemotherapy of patients with malignant tumor. Methods 105 patients with malingnant tumor treated in department of oncology in our hospital from October 2013 to June 2014 were selected and randomly divided into two groups,and there were 53 patients in PICC catheter group,and 52 cases in peripheral venous catheterization group.The one-time success rate of catheterization,setting time of tube and the incidence rate of complication such as extravasation and phlebitis caused by stimulation of chemotherapy drugs between two groups was observed respectively. Results The one-time success rate of catheterization in PICC catheter group was 94.3% (50/53),and the one-time success rate of catheterization in peripheral venous catheterization group was 82.7%(43/52),and there was no statistical difference between two groups (P>0.05).The setting time of tube in PICC catheter group [(112.57±6.91) d] was longer than that of peripheral venous catheterization group [(1.7±1.1) d] (P<0.01). The incidence rate of complication such as extravasation and phlebitis caused by stimulation of chemotherapy drugs in PICC catheter group (0),and it was 48.1% (25/52),and there was a statistical difference between two groups (P<0.01). Conclusion PICC catheter is safe and reliable,and can improve the quality of nursing,which is an ideal intravenous route for chemotherapy patients with advanced malignant tumor,it is worthy of clinical promotion and application.