乳腺癌化疗患者应用植入式静脉输液港与经外周静脉穿刺中心静脉导管效果对比研究

Study on effect comparison between implantable venous access port and peripherally inserted central catheter of chemotherapy patients of breast cancer

目的探讨乳腺癌化疗患者应用植入式静脉输液港(IVAP)与经外周静脉穿刺中心静脉导管(PICC)的对比效果。方法将240例乳腺癌根治术患者随机分为PICC组和IVAP组,每组120例;PICC组采用PICC置管法,而IVAP组则采用IVAP置管法;比较2组患者的穿刺成功率、置管时间、并发症发生率、舒适度、护理满意度、生活质量等指标。结果 2组间的一次穿刺成功率比较差别无统计学意义(P>0.05);IVAP组的导管留置时间长于PICC组(P<0.01); IVAP组的并发症发生率为8.33%,低于PICC组的25.83%(P<0.01);IVAP组的舒适度评分、生活质量评分均低于PICC组(P<0.01),而IVAP组的护理满意度得分则高于PICC组(P<0.01)。结论与PICC法相比,乳腺癌化疗患者采用IVAP置管法,可延长置管时间,降低并发症发生率,提高舒适度和护理满意度,改善预后生活质量。

Objective To explore the effect comparison between implantable venous access port(IVAP) and peripherally inserted central catheter(PICC) of chemotherapy patients of breast cancer.Methods 240 cases of radical mastectomy were randomly divided into PICC group and IVAP group, 120 cases each group. PICC group was given PICC catheterization method, and IVAP group was adopted IVAP Catheterization. The indexes of success rate of puncture, catheterization time, incidence rate of complications, comfort degree, nursing satisfaction degree and life quality were compared between the two groups.Results There was no statistical significance about success rate of the first puncture between the two groups(P>0.05). The catheterization time in the IVAP group was longer than the PICC group(P<0.01). The incidence rate of complications in the IVAP group was 8.33%, lower than the PICC group(P<0.01). The scores of comfort degree and life quality in the IVAP group were both lower than the PICC group(P<0.01), but the score of nursing satisfaction degree in the IVAP group was higher than the PICC group(P<0.01).Conclusion Contrast with PICC method, chemotherapy patients of breast cancer use of IVAP method, it could extend catheterization time, cut down incidence rate of complications, raise comfort degree and satisfaction degree, and improve life quality of prognosis.