摘要
目的探讨肿瘤患者化疗期间经外周静脉置入中心静脉导管(PICC)的两种冲管方法的效果。方法选择2011年5月至2013年5月行PICC置管术肿瘤化疗患者112例,随机分为观察组和对照组,各56例。对照组遵循A(assess,抽回血)-C(clear,脉冲式冲管)-L(lock,正压封管)常规维护,观察组在对照组A-C-L常规维护基础上在化疗患者间歇期另加入抽吸式冲管,对两组患者导管堵塞发生率进行观察比较。结果对照组患者导管堵塞发生率为23.2%(13/56),观察组为7.1%(4/56),两组比较,差异有统计学意义(P<0.05)。结论在实施常规A-C-L导管维护基础上,加入间歇期抽吸式冲管能有效减少肿瘤化疗患者导管堵塞发生率,为顺利完成治疗提供有利条件。
Objective To compare the efficacy of two flushing methods in tumor patients with peripherally inserted central catheter（PICC） during chemotherapy. Methods 112 tumor patients with PICC catheterization undergoing chemotherapy were randomly divided into the experimental group and the control group, 56 cases in each group. The control group followed routine maintenance of A （assess, draw blood）-C （clear, impulse type washpipe）-L （lock, pipe sealing with positive pressure）, while the treatment group was added with suction type washpipe at the intermission of chemotherapy on the basis of A-C-L routine mainte- nance of control group. The rate of tube plugging of the patients in the two groups were analyzed by SPSS13.0. Results The rate of tube plugging of patients in control group and experimental group was 23.2% （13/56） and 7.1% （4/56） respectively, and the difference between the two groups had statistical significance （P〈0.05）. Conclusion The addition of suction type washpipe on the basis of routine A-C-L can effectively reduce the rate of tube plugging of patients with tumor chemotherapy, and provide favorable conditions for the successful completion of treatment.
出处
《现代医药卫生》
2014年第2期192-193,共2页
Journal of Modern Medicine & Health
关键词
导管
留置
导管插入术
中心静脉
抗肿瘤药
治疗应用
冲管方法
Catheters,indwelling
Catheterization,central venous
Antineoplastic agents/therapeutic use
Flush- ing methods
