摘要
目的:比较外周置入中心静脉导管(PICC)和锁骨下静脉置管在老年肿瘤患者中应用的效果。方法:将286例患者随机分为PICC组(A组)136例和锁骨下静脉置管组(B组)150例,分别观察两组首次插管成功率及并发症发生情况。结果:A组与B组首次穿刺成功率比较,P<0.001,差异有统计学意义。各种并发症中,误穿动脉、皮下气肿及静脉炎的发生率,两组间差异均有统计学意义(P=0.010,0.024,0.000)。因并发症导致弃管,两组间差异有统计学意义(P=0.047)。结论:PICC穿刺成功率高,并发症轻微,可以在老年肿瘤患者中推广应用。
Objective： To compare the effect of applying between peripherally inserted central catheter（PICC） and subclavian vein inserted catheter in old patients with tumor. Methods： By random sampling, 286 old patients with tumor were enrolled in this study. They were divided into two groups： 136 patients for group A which were applied to PICC, and 150 patients for group B which were applied to subclavian vein inserted catheter . The rate of the first success of inserting catheter and the complications were observed in two groups respectively. Resuits：There were significant difference in the rate of the first success compared group A with group B（ P 〈 0.001）. The incidence rate of missing puncture of arterial, cutaneous emphysema and phlebitis were also significant difference among the complications （ P = 0. 010,0. 024, 0.000 respectively）, so was the rate of abandoning catheter caused by comphcations（ P = 0.047）. Conclusion： This study suggests that PICC could be applied to old patients with tumor extensively.
出处
《中国民康医学》
2007年第12期431-432,共2页
Medical Journal of Chinese People’s Health
关键词
外周置入中心静脉导管
锁骨下静脉置管
老年肿瘤患者
Peripherally inserted central catheter（PICC）
Subclavian vein inserted catheter
Old patients with tumor
