摘要
目的探讨中心静脉置管（CVC）在中医肿瘤科的临床应用及价值。方法选取本院肿瘤科2011年1月-2014年11月住院患者188例,随机分为CVC组和经外周静脉置入中心静脉置管（PICC）组各94例,CVC组给予CVC术,PICC组给予CVC术。观察比较两组的置管成功率、置管操作时间、导管留置时间、置管期间患者不适感、导管相关性感染、误穿动脉、堵管、脱管、气胸、穿刺点渗血或渗液、静脉炎等情况。结果 CVC组穿刺成功率为100.0%,PICC组为98.9%,两组差异无统计学意义（P〉0.05）。CVC组置管操作时间为（17.96±3.93）min,置管留置时间为（15.63±9.92）d,治疗期间18例（19.1%）患者发生不适;PICC组置管操作时间为（32.22±6.23）min,置管留置时间为（121.39±86.57）d,治疗期间12例（12.8%）患者发生不适;CVC组的置管操作时间、置管留置时间短于PICC组,差异有统计学意义（P〈0.05）;两组置管期间患者不适感差异无统计学意义（P〉0.05）。两组患者导管相关性感染、堵管、脱管、气胸的发生率比较,差异无统计学意义（P〉0.05）,CVC组误穿动脉、穿刺点渗血或渗液的发生率高于PICC组,静脉炎的发生率低于PICC组,差异有统计学意义（P〈0.05）。结论 CVC置管成功率高,操作易于掌握,导管保留时间较长,方便管理。CVC可保障中医肿瘤科多种治疗目的的实施,置管方便、安全、患者痛苦小,CVC对中医肿瘤科患者的各种输液治疗及静脉内营养有非常大的作用。
Objective To analyze the clinical application and value of central venous catheterization（CVC） in Department of TCM Oncology. Methods 188 inpatients in Department of Oncology of our hospital from January 2011 to October 2014 were selected,and were randomly divided into CVC group（n =94） and peripherally inserted central catheter（PICC） group（n=94）.The CVC group were taken with central venous catheterization,while the PICC group were taken with peripherally inserted central catheter.The success rate of catheterization,catheter time,retain time of catheterization,patient discomfort,catheterization-related infections,inadvertent arterial puncture pneumothorax,catheter obstruction,catheter extrusion,pneumothorax,puncture site bleeding or exudate and the incidence of phlebitis was compared between the two groups. Results The success rate of catheterization in the CVC group was 100.0%,the PICC group was 98.9%,there was no significant difference between the two groups（P〉0.05）.In CVC group,the average catheter time was（17.96±3.93） min,the average retain time of catheterization was（15.63±9.92） d,the number of patients discomfort related to catheterization was 18（19.1%）;In PICC group,that was（32.22±6.23） min,（121.39±86.57） d,and 12（12.8%）,respectively;the average catheter time and the average retain time of catheterization in CVC group was shorter than that in PICC group,the difference was significant（P〈0.05）,patients discomfort related to catheterization between the two groups had no significant difference（P〉0.05）.The incidence of catheterization-related infections,catheter obstruction,catheter extrusion,pneumothorax between the two groups had no significant difference（P〉0.05）;The incidence of inadvertent arterial puncture pneumothorax,puncture site bleeding or exudate in CVC group was higher than that in PICC group,the incidence of phlebitis was lower than that in PICC group,the difference was significant（P〈0.05）. Conclusion CVC has high success rate of catheterization,the operation is easy to grasp,catheter retention time is longer,easy to manage.CVC can protect a variety of therapeutic purpose implementing in the Department of Oncology of traditional Chinese medicine,catheter is convenient and safe,patient has less pain,CVC has a very big role on a variety of infusion therapy and intravenous nutrition in patients the Department of Oncology of traditional Chinese medicine.
出处
《中国当代医药》
2014年第36期18-21,共4页
China Modern Medicine
基金
国家临床重点专科项目(2013)
关键词
肿瘤科
中医
中心静脉置管
经外周静脉置入中心静脉置管
临床应用
Department of Oncology
Traditional Chinese Medicine
Central venous catheterization
Peripherally inserted central catheterization
Clinical application
