肿瘤化疗患者行PICC置管的临床对照研究

Clinical Study of Chemotherapy Underwent PICC Catheter

目的针对在临床当中接受化疗的肿瘤患者给予PICC置管之后其长度以及选择肘部静脉、置管时间和并发症之间存在的联系进行探究分析。方法随机择取该院2014年3月—2015年3月期间接受化疗的肿瘤患者100例,观察其接受PICC置管之后并发症概率与置管长度、置管位置、置管时间之间的关系,并做以记录。结果在本文当中我们将结果分成3个不同的方面来分析,即：①置管长度：〈40、40-50 cm、〉50 cm 3组之间并发症概率差异有统计学意义,P〈0.05;②置管选择肘部静脉：贵要静脉、肘正中静脉、头静脉三组之间并发症概率差异有统计学意义,P〈0.05;③置管的时间：〈70 d、70-110 d、〉110 d以上3组之间并发症概率差异无统计学意义,P〉0.05。结论在临床当中对接受化疗的肿瘤患者行以PICC置管,选择适合的长度、谨慎选择肘部静脉,并在此基础之上行以无菌化操作和适当的护理干预,可以显著地减轻由于PICC置管化疗所带来的并发症状。

Objective To explore them in clinical analysis of cancer patients receiving chemotherapy after PICC catheter line to its length as well as selecting the elbow vein, between the catheter and complications of contacting. Methods Randomly choose to take our hospital in March 2014 to March 2015 during the cancer patients receiving chemotherapy 100 observed after accepting PICC catheter complication probability and the length of the catheter, the catheter position, catheter relationship between the time, and to make records. Results Among the results of this paper we will be divided into three different areas to analyze, namely： ①tube length： less than 40 cm, 40 cm to 50 cm, there are significant differences among the three groups complication probability more than 50 cm, P〈0.05; ②select the elbow vein catheter： basilic vein, median cubital vein, there is the probability of complications among the three groups cephalic vein significant difference, P〈0.05;③catheter time： less than 70 days, 70 days to 110 days, 110 days or more probability of complications among the three groups was no significant difference, P〈0.05. Conclusion Select the appropriate length, careful selection of the elbow vein,and the basis of up-sterile operation and appropriate nursing intervention can significantly reduce due PICC catheter caused by chemotherapy concurrent symptoms.