植入式静脉输液港和外周静脉穿刺中心静脉置管在高龄肿瘤患者中的应用

Comparative study on the nursing quality of elderly patients with cancer by IVAP and PICC

目的:探讨植入式静脉输液港(IVAP)和外周静脉穿刺中心静脉置管(PICC)在高龄肿瘤患者中的应用效果。方法:选择高龄肿瘤患者88例为研究对象,将其随机分为IVAP组38例和PICC组50例,观察两组患者的1次置管成功率、留置时间及并发症发生情况。结果:两组患者1次置管成功率经比较差异无统计学意义(P>0.05),IVAP组置管后留置时间长于PICC组(P<0.05),IVAP组导管并发症发生情况低于PICC组(P<0.05)。结论:IVAP运用过程中与PICC相比,其留置时间长、减少了反复静脉穿刺带给患者的痛苦,其维护间隔时间长、并发症少和感染率低,是高龄肿瘤患者静脉输液的理想通路。

Objective：Study on the nursing quality of elderly patients with cancer by IVAP and PICC. Methods：Selected 88 cases of elderly patients with tumors for the objectes,38 cases for IVAP group,50 cases for PICC group. To observe catheter success rate,complications situation and indwelling time of IVAP and PICC. Results：The catheter success rate of IVAP and PICC was not statistically significant. The first puncture success rate between the two groups was approaching. The catheter indwelling time of IVAP and PICC was statistically significant （P 〈 0. 05）. The catheter complications of IVAP and PICC was statistically significant （P 〈 0. 05）. Conclusion：Compared IVAP with PICC,IVAP has longer retention time,the application of IVAP reducing the repeated venipuncture to patients,IVAP has longer time of maintenance intervals,and lower infection rate. IVAP is the ideal path of intravenous infusion for elderly cancer patients.