两种中心静脉导管的临床应用比较

目的探讨抗感染中心静脉导管和普通单腔中心静脉导管在中心静脉置管中应用的效果。方法选取肿瘤患者90例,按单双日随机分成普通单腔中心静脉导管组(45例)和抗感染中心静脉导管组(45例),观察两种导管置管的应用情况。结果两种导管在一次置管成功率、并发症的发生及平均留置天数具有统计学意义(P<0.05),在操作时间,操作中渗血量等无统计学意义(P>0.05)。结论抗感染中心静脉导管可广泛用于肿瘤患者常规化疗和晚期肿瘤患者较长时间的补液治疗,而对于短时间化疗、短时间补液的患者,可选取普通单腔中心静脉导管。

Objective To compare the clinical apply of antiseptic impregnated central venous catheter and normal impregnated central venous catheter. Methods We random selected 90 tumor patients and divided them into two groups on odd-numbered days and even-numbered days（of the month）：45 patients used antiseptic impregnated central venous catheter, and 45 patients used normal impregnated central venous catheter, the clinical effect in these two groups were observed. Results The difference in the success of the first time to place catheter, complications and average days of placed catheter in these two groups bears significance in satics（P〈0.05）.And work time, seep blood volume were no significant difference（P〉0.05）. Conclusion Antiseptic impregnated central venous catheter can be used in normal chemotherapy and long-time complement liquid for terminal tumor patients, and normal impregnated central venous catheter can be used in short-time chemotherapy and complement liquid.