文档介绍：论文题目:与浅静脉留置针在乳腺癌化疗患者中的临床对比
学科(专业):护理学
申请人:侯梅
指导老师:王小琴
摘要
目的:通过临床实践观察比较外周置入中心静脉导管(Peripherally Inserted Central Catheter,)与浅静脉留置针在乳腺癌化疗过程中的临床对比。
方法:将西安交通大学医学院第一附属医院肿瘤外科100例乳腺癌化疗患者(年龄为24岁—56岁,平均37岁)分为两组,置管,对照组50例患者为接受浅静脉留置针。分别观察与比较两组留置时间、置管堵塞、置管脱落、静脉炎、药物渗漏情况。
结果:通过临床观察对比及统计学分析,选取P <,组的置管留置时间为30-180d不等,,而浅静脉置管组留置时间为2-7天,,组明显留置时间明显长于浅静脉置管组。t=,P <,有统计学意义。组患者中无患者发生药液渗漏,而浅静脉置管组患者中发生药液渗漏者7人,=,P <,有统计学意义;组患者中发生静脉炎者1人,而浅静脉置管组患者中发生静脉炎者8人,=,P <,有统计学意义;组患者中发生置管堵塞及脱落者2人,而浅静脉置管组患者中发生置管堵塞及脱落者11人,=, P <,有显著的统计学意义;组患者中发生并发症者共2人,而浅静脉置管组患者中发生并发症者共有26人,=,P <,亦有显著的统计学意义。
结论:置管穿刺方便,安全可靠,留置时间长,并发症率(渗漏、静脉炎、堵塞)低,患者痛苦小,值得临床推广。
关键词:经外周置入中心静脉导管;浅静脉留置针;乳腺癌化疗;临床观察
论文类型:应用研究
抬头
ABSTRACT
Purpose : The present study was designed to plications between the Vein Permanent Needle and Peripherally Inserted Central Catheter() in chemotherapy for patients with breast cancer.
Materials and Methods: We enrolled patients from The fist affiliated hospital of Medical College of Xi’an Jiao Tong University,who aged between 24-56 years, All of them had operationed and histologically proven breast cancer, in the postop-chemotherapy,they were randomly assigned by minimization to use either: Vein Permanent Needle (n=50) or Peripherally Inserted Central Catheter() (n=50). And all the enrolled patients were recorded in keeping time、phlebitis、drugs seepage、pipe droping out and clogging
Finding: Patients using Vein Permanent Needle had a keeping time between 2-7 days,and the average time is days ,while the other team is 30-180 days,and the average time is days,(t = P< );The accident of drugs seepage in patients using Vein Permanent Needle is 7,while none happened in the other team, (x2=,P <);1 patient using appeared phlebitis,and 8 patients in the other team, (x2=,P <); The accident of pipe droping out and clogging in patients using Vein Permanent Needle is 11,while 2 happened in the other team, (x2=,P