摘要
目的 分析植入式静脉输液港在恶性肿瘤患者治疗中的应用效果。方法 本次研究对象选取2022年11月至2024年11月期间我院接收的恶性肿瘤患者80例,采用随机数字表法将入选的80例患者分成两组开展护理治疗研究,其中包括观察组40例和对照组40例。治疗期间对照组患者给予经外周静脉穿刺中心静脉置管(PICC),观察组给予植入式静脉输液港,分析对比两组取得的护理治疗效果。结果 对比分析结果显示,观察组一次性置管成功率、3个月及半年的导管留置率均高于对照组,意外拔管率和并发症发生率均低于对照组,导管维护时间短于对照组,且导管留置时间显著长于对照组,(P<0.05)。结论 在恶性肿瘤患者管理中实施植入式静脉输液港护理,能够有效提高一次穿刺成功率和导管使用寿命,减少导管相关并发症发生。
关键词: 恶性肿瘤;植入式静脉输液港;PICC;效果分析
Abstract
Objective To analyze the application effect of implantable intravenous infusion port in the treatment of patients with malignant tumors. Methods The study object selected 80 patients with malignant tumors from November 2022 to November 2024, and the 80 patients were divided into two groups for nursing treatment study, including 40 patients in the observation group and 40 patients in the control group. During the treatment period, the control group was given central venous catheterization (PICC) through peripheral venipuncture, and the observation group was given the implantable intravenous infusion port, analyzing and comparing the nursing treatment effect of the two groups. Results The comparative analysis results showed that the success rate of single catheterization, catheter retention rate of 3 months and half months in the observation group were higher than that of the control group, the accidental extubation rate and complication rate were lower than the control group, the catheter maintenance time was shorter than that of the control group, and the catheter retention time was significantly longer than that of the control group, (P <0.05). Conclusion The implementation of implantable intravenous infusion port care in the management of malignant tumor patients can effectively improve the success rate of primary puncture and catheter service life, and reduce the occurrence of catheter-related complications.
Key words: Malignant tumor; Implantable intravenous infusion port; PICC; Effect analysis
参考文献 References
[1] 余婉琪,邓军,管惠捷,等.恶性肿瘤患儿完全植入式静脉输液港导管相关血栓的发生率及危险因素分析[J].齐齐哈尔医学院学报,2024,45(15):1497-1500,封3.
[2] 崔旭静,李育玲,韩娜,等.恶性肿瘤患者完全植入式静脉输液港堵塞预防及处理的最佳证据总结[J].中华现代护理杂志,2024,30(3):372-378.
[3] 于聪祥,李跃飞,张儒英,等.妇科恶性肿瘤患者应用完全植入式静脉输液港相关并发症规避方法分享[J].中国医药,2023,18(9):1410-1413.
[4] 乐正红,董燕.植入式静脉输液港与PICC在妇科恶性肿瘤化疗患者中的应用效果对比[J].实用妇科内分泌电子杂志,2024,11(14):102-104.
[5] 林立华,叶祝育.植入式静脉输液港在恶性肿瘤患者治疗中的应用分析[J].黑龙江中医药,2023,52(4):72-74.
[6] 钱程,石静.植入式静脉输液港与PICC在消化道恶性肿瘤化疗患者中的应用分析[J].护士进修杂志,2020, 35(17): 1606-1608.
[7] 赵广章,刘岩,熊斌,等.植人式静脉输液港与PiCC在乳腺癌术后辅助化疗中的应用效果比较[J]临床医学研究与实践,2021,6(26):59-61.
[8] 万小兰,吴祯,王华玲.植入式静脉输液港与经外周静脉rrI心静脉置管在妇科恶性肿瘤化疗巾的应用效果比较[J].中国当代医药,2020,27(33):201-203,210.