阿尔兹海默症患者应用PICC与PORT的效果比较

Efficacy comparison of PICC and PORT in patients with Alzheimer's disease

目的比较阿尔兹海默症患者应用PICC与PORT的效果。方法选择阿尔兹海默症患者60例,分为PICC组和PORT组各30例,2组分别统计导管计划外拔管率、一次置管成功率、导管留置时间、导管留置期间并发症发生率。结果PICC组计划外拔管率30%,PORT组无计划外拔管发生(P<0.05);PICC组一次置管成功率70%,PORT组一次置管成功率36.7%(P<0.05);导管留置1年以上PICC组2例,PORT组30例(P<0.01);PICC组留置期间并发症发生率63.3%,PORT组3.3%(P<0.01)。结论对于阿尔兹海默症患者PORT较PICC作为长期血管通路更为适合,值得临床推广。

Objective To compare the effects of PICC and PORT in patients with Alzheimer disease.Methods A total of 60 patients with Alzheimer disease were divided into PICC group and PORT group,with 30 cases in each group.The one—time success rate of catheterization,duration of catheter indwelling,and catheter-related complications were compared between the two groups.Results The unplanned catheter removal rate of PICC group was 30%,and no catheter removal occurred in PORT group（P〈 0.05）.One—time success rate of catheterization was 70% in PICC group and 36.7% in PORT group（P〈 0.05）.There were 2 cases in the PICC group and 30 cases in the PORT group with catheter indwelling over 2 years（P〈 0.01）.The complications rate was 63.3% in the PICC group sand 3.3% in the PORT group（P〈 0.01）.Conclusion PORT is a better pathway for patient with Alzheimer disease.It is worthy of promotion in clinical practice.