植入式静脉输液港与PICC在乳腺癌术后化疗中的应用效果对比

目的 :对比用植入式静脉输液港与PICC对接受手术治疗的乳腺癌患者进行术后化疗的临床效果。方法 :将2016年1月至2017年1月期间在西安交通大学第一附属医院接受手术治疗的120例乳腺癌患者分为观察组(60例)和对照组(60例)。在手术结束后,对两组患者均进行化疗。在进行化疗时,对观察组患者采用植入式静脉输液港进行静脉滴注。对对照组患者采用PICC进行静脉滴注。化疗结束后,观察、对比两组患者置管操作的的时间、置管的长度、置管的成功率及置管早期并发症的发生率。结果 :观察组患者置管操作的时间明显长于对照组患者,但其置管的长度明显短于对照组患者,差异具有统计学意义(P<0.05)。观察组患者置管早期并发症的发生率明显低于对照组患者,差异具有统计学意义(P<0.05)。两组患者置管的总成功率相比差异无统计学意义(P>0.05)。结论 :与采用PICC对接受手术治疗的乳腺癌患者进行术后化疗的效果相比,采用植入式静脉输液港对其进行术后化疗不仅成功率高,而且可显著缩短其置管的长度,降低其置管早期并发症的发生率。

Objective: To compare application efficacies of implanted venous port and PICC for chemotherapy to the patients with breast cancer. Method: Divide 120 cases of patients with breast cancer accepted operation in the First Affiliated Hospital of Xi'an Jiaotong University from January 2016 to January 2017 into experimental group(60 cases) and control group(60 cases).After operation, we treat all patients with chemotherapy. In the process of chemotherapy, we apply implanted venous port for experimental group to intravenous infusion, apply PICC for control group to intravenous infusion. After chemotherapy process, we compare catheterization time, catheter length, success rate of catheterization and incidence of complications in early time of catheterization. Results: Catheterization time of experimental group is longer than control group but catheter length is more shorter(P<0.05).Incidence of complications in early time of catheterization in experimental group is significantly lower than control group(P<0.05). Difference of success rate of catheterization of two group has no statistical significant(P>0.05).Conclusion: Compare with PICC, apply implanted venous port in chemotherapy process of patient with breast cancer have high success rate, shorter catheter length,this method can decrease incidence of complications in early time of catheterization..