化疗性静脉炎的预见性防范策略

Precautionary Measures Taken against Chemotherapeutic Phlebitis

目的了解化疗性静脉炎的发生机制,及时评估化疗性静脉炎的危险因素,探讨化疗性静脉炎的防范策略。为肿瘤患者合理选择化疗静脉提供依据。方法通过对我科78例进行静脉化疗的肿瘤患者,正确实施健康知识教育,强化心理防范措施,护士操作技能的培养,正确选择血管及输液用具,制定和完善的护理规章制度,及时评估血管等一系列防范措施。结果本组78例肿瘤患者均使用BD留置针和PICC导管(或)深静脉导管,输注化疗药物顺利,均无化疗性静脉炎发生。结论肿瘤科患者行静脉化疗期间,为预防化疗性静脉炎的发生,应根据化疗药物的性质;病人的经济承受能力及心理承受能力;血管的弹性、粗细、静脉留置的时间长短;选择合适的输液工具及护士穿刺技能的培养等因素,可杜绝或减少化疗性静脉炎的发生。保证了患者输液的安全,减轻了患者的痛苦,促进患者的康复。避免静脉化疗时静脉炎的发生。

Objectives to understand the mechanism of chemotherapeutic phlebitis and make prompt assessment of various causing factors so as to take precautionary measures against it. Methods First, 78 patients with tumors were treated with intravenous chemotherapy. Fluids and medication were dripped in through indwelling needles and PICC catheters. While receiving medical treatment, they also learned about health care and positive attitudes. Second, perfect the nursing management. Nurses were systematically trained such as on how to value blood vessels, how to chose infusion appliances and how to perform the infusion. Results none of the subjects suffered from chemotherapeutic phlebitis. Conclusions In many cases, chemotherapeutic phlebitis can be prevented by taking a set of precautionary measures such as considering the drug impact, the patient＇ s economic affordability and psychological endurance, the right infusion appliance to chose and the performing skill to improve.