颈外静脉与股静脉置管在肿瘤化疗患者中的应用比较

Comparation the placement of catheter in external jugular vein and femoral vein in oncology chemotherapy

目的 通过对肿瘤患者颈外静脉与股静脉置入中心静脉导管置管成功率、并发症发生率及导管保留时间的比较,寻找减轻肿瘤患者静脉穿刺痛苦的最佳输液方法。方法 将符合纳入标准的71例肿瘤患者随机分为两组,A组进行颈外静脉穿刺置管,B组进行股静脉穿刺置管,用相同的方法对导管进行维护。结果 颈外静脉与股静脉置管患者一次性置管成功率(分别为91.42%、75.00%,P<0.01)、并发症发生率(分别为8.57%、44.44%,P<0.01)、导管保留时间大于10周以上者(分别42.86%、2.78%,P<0.01)差异均有统计学意义。结论 颈外静脉置管一次性置管成功率高,并发症低,保留时间较长是肿瘤患者化疗输液的一个简便、安全的途径。

Objective To compare the placement success ratio, complication ratio, catheter - keeping time of external jugular vein and femoral vein in tumor patients,looking for the best way of relieving pain in vein chemotheapy for them. Methods A total of 71 fixed cases were divided into two groups randomly：A group were given catheter in external jugular vein;B group were given catheter in femoral vein. They all had the same catheter. Results The ratio of successful placement in external jugular vein and femoral vein was 91.42% and 75.00% respectively, complication ratio was 8.57% and 44.44% respectively,and percentage of cases kept catheter more than 10 weeks was 42. 86% and 2. 78% re- spectively. The statistical significance had been shown as compared between the two groups （ P 〈 0. 01 ）. Conclusion It is safe and conwenient to place catheter in external jugular vein for tumor patients because of its high placement success ratio, low complication ratio and kept long in the chemotherapy.