不同中心静脉输液途径对乳腺癌患者置管并发症发生的影响

Effects of different approaches to central venous catheterization on complication incidence of breast tumor

目的比较乳腺癌患者采用外周静脉穿刺中心静脉置管（peripherally inserted central catheter,PICC）和植入式静脉输液港（venous port access,VPA）置管期间并发症的发生率,探讨乳腺癌患者合适的中心静脉输液途径。方法选取2012年1月-2014年1月本院收治的乳腺癌化疗患者409例,将植入VPA的191例设为VPA组,植入PICC的218例设为PICC组,比较两组患者置管期间并发症发生情况。结果 VPA组患者置管期间并发症总发生率低于PICC组患者（P〈0.05）。结论VPA具有安全、舒适的优点,是乳腺癌患者静脉输液的理想途径。

Objective To compare the effects of peripherally inserted central catheter（PICC） and venous port access（VPA） on the complication incidence of breast cancer.Methods A total of 191 breast cancer patients with VPA and 218 ones with PICC for chemotherapy from January 2012 to January 2014 were involved.The two groups were compared in respect of incidence of complications during intubation.Result The complication incidence in the VPA group was lower than the PICC group（P〈0.05）.Conclusion VPA is an ideal pathway for intravenous infusion in breast cancer patients undergoing chemotherapy.