PICC导管与静脉留置针在乳腺癌化疗中的比较

Comparison of Therapeutic Effects of PICC Catheter and Venous Indwelling Needle in the Chemotherapy of Breast Cancer

目的：探讨经外周静脉穿刺中心静脉置管（PICC）与前臂静脉留置针在乳腺癌静脉化疗中应用效果比较。方法：将66例乳腺癌患者分为观察组33例（PICC置管组）,对照组33例（前臂静脉留置针组）,观察并记录静脉炎、疼痛及主要并发症发生情况、留置时间及日常生活处理能力。结果：观察组静脉炎发生率9%,疼痛率6%,导管并发症率9%,留置时间30~320d,日常生活处理能力正常;对照组静脉炎发生率45%,疼痛率36%,留置针并发症率39%,留置时间1~8d,日常生活需人照顾。两组各项指标比较差异有统计学意义（P〈0.01）。结论：在乳腺癌静脉化疗中,选用PICC中心静脉置管效果明显优于前臂静脉留置针,能最大限度地减轻患者的痛苦,值得临床推广。

Objective： To compare the effects of PICC catheter and peripheral venipuncture center vein catheter in the chemotherapy of breast cancer.Method： 66 cases of breast cancer were divided into observation group （ n=33, PICC group ） and control group （ n=33, forearm venous catheter group ） .Phlebitis, pain, complications, indwelling time and activity of daily living were observed and recorded.Result： The observation group, phlebitis occurred in 9%, pain rate was 6%, catheter complication rate was 9%, the retention time was 30 to 320 days and the activity of daily living was normal.These indexes were lower than The control group, there was statistical significance between the two groups （P〈O.O1） .Conclusion： Intravenous chemotherapy for breast cancer, the choice of PICC central venous catheter is better than forearm vein catheter, minimizing the suffering of patients, it is worthy of promotion.