PICC与CVC在恶性肿瘤患者临床应用.docVIP

精品论文 参考文献 PICC与CVC在恶性肿瘤患者临床应用 徐海霞 　　（内蒙古医学院附属医院放疗科内蒙古010000） 　　【摘要】目的：对比分析经外周途径至中心静脉置管(PICC)与经锁骨下静脉至中心静脉置管(CVC)后并发症的发生情况，为临床应用提供依据。方法：收集我院200例确诊为恶性肿瘤患者临床资料，随机分为两组，其中100例应用PICC建立长期输液通道（PICC组），100例应用CVC置管（CVC组）。对二者应用过程中产生的并发症进行分析。结果：PICC组置管后并发症总发生率低于CVC组，组间差异有统计学意义（Plt;005）。结论：与CVC置管相比，PICC置管是一种安全、有效的中心静脉置管方法，在临床上部分治疗可取代CVC并达到与其相同的治疗目的，在日常护理中应加强规范操作，以显著减少并发症的发生。 　　【关键词】PICC；CVC；并发症；预防；护理A comparative study of PICC and clinical application of CVC in patients with malignant tumor complications 　　Xu Haixia(Department of radiation oncology, Affiliated Hospital of Inner Mongolia Medical College, Neimenggu, 010000) 　　【Abstract】Objective: To compare the peripheral routes to central venous catheter (PICC) and subclavian vein to the central venous catheter (CVC) after the occurrence of complications, and provide the basis for clinical application. Methods: 200 patients in our hospital diagnosed with clinical data of patients with malignant tumor, were randomly divided into two groups, including 100 cases of application of PICC to establish long-term infusion channel (PICC group), 100 patients were treated with CVC catheter (CVC group). On the analysis of two application process complications. Results: in PICC group after the catheter complications occurrence rate lower than that in CVC group, there was significant difference between the groups (Plt;005). Conclusion: Compared with CVC tube, PICC tube is a safe, effective central venous catheter method in clinical treatment, some can replace CVC and achieve the same therapeutic purposes, in the daily care should be to strengthen the norms of operation, to reduce complications. 　　【Keywords】PICC; CVC; Complication; Prevention; Nursing 　　【中图分类号】R2465【文献标识码】B【文章编号】1003-5028(2013)05-0086-01 　　1资料与方法 　　11研究对象:本组病例选取自2009年10月～2010年10月间住院治疗并建立长期输液通道的恶性肿瘤患者200例，其中男45例，女155例，平均年龄55岁，范围23～81岁。其中乳腺癌79例，直肠癌43例、胃癌28例，肺癌27例、结肠癌15例，胰腺癌6例，卵巢癌2例，纳入病例按随机数字表法随机分为两组，PICC组（100例）和CVC组（100例），两组在年龄，性别，基础疾病，病情，病程方面比较差异均无统计学意义（Pgt;005），具有可比性。 　　12方