卷尺导管在胃肠道恶性肿瘤的应用

THE USING OF TAPE MEASURE IN THE GASTROINTESTINAL CANCER

目的:探讨卷尺导管在肠外营养中应用的效果。方法:对56例胃肠癌术后患者采用卷尺导管(外周静脉穿刺植入)肠外营养,并与54例胃肠癌术后患者采用套管针肠外营养进行比较,观察静脉炎和渗漏的发生率。结果:两组患者静脉炎和渗漏性损伤的发生率经x2检验,x2=9.509,p<0.01,有显著差异。结论:卷尺导管有效地减少了肠外营养期间静脉炎和渗漏性损伤的发生;选择好血管是置管成功的保证,严格无菌操作和正压封管是预防导管感染和导管堵塞的关键。

Objective： To study the effect of tape measure catheter in parenteral nutrition Method： 110 patients with gastrointeatinal cancer after operation randomized into two groups received parenteral nutrition with tape mesure catheter by peripheral venlpuncture or cannual needle, The incidence rate of phlebitis and leakage were observed. Results： The incidence rate of phlebitis and leakage between two groups were analysised with x2- test, x2 = 9.509, p〈 0.01. Conclusion： ns The application of tape measure catheter decreased the incidence of phlebitis and leakage effectively during parenteral nutrition） the selection of fine blood vessel assuranced the success of venipuncture; the key point of prevention the catheter infection and block was strict aseptic manipulation and blocking catheter with positive pressure .