文章摘要

晚期肿瘤静脉营养支持患者应用改良型中等长度导管与PICC效果比较

作者: 1车肖文, 1唐晓莲, 1颜婧
1 中国人民解放军联勤保障部队第904医院血液肿瘤科,江苏 无锡214044
通讯: 颜婧 Email: manmushishui@sina.cn
DOI: 10.3978/j.issn.2095-6959.2020.09.020

摘要

目的:探讨晚期肿瘤静脉营养支持患者应用改良型中等长度导管(Midline catheters)与经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)应用比较。方法:选取2019年1月至2019年12月就诊于中国人民解放军联勤保障部队第904医院血液肿瘤科的晚期肿瘤静脉营养支持患者100例,随机等分为观察组和对照组,观察组采用改良型中等长度导管进行静脉输液,对照组采用PICC进行静脉输液。比较两组患者置管后导管相关并发症的发生情况和一次性置管成功率,同时对两组患者导管相关医疗费用与患者置管满意度进行比较。结果:观察组患者导管相关并发症的发生次数明显低于对照组(P<0.05)。观察组置管和维护费用均较对照组明显减少(P<0.05)。观察组一次性置管成功率和患者置管满意度均明显高于对照组。结论:改良型中等长度导管在晚期肿瘤静脉营养支持患者中的应用效果优于PICC,其并发症少,医疗费用相对较少,置管成功率高及患者满意度高。
关键词: 晚期肿瘤;静脉营养支持;经外周静脉置入中心静脉导管;改良型中等长度导管;并发症

Comparison of the effects of modified midline catheter and PICC in patients with advanced tumor intravenous nutrition support

Authors: 1CHE Xiaowen, 1TANG Xiaolian, 1YAN Jin
1 Department of Hematology and Oncology, The 904 Hospital of Chinese people’s Liberation Army, Wuxi Jiangsu 214044, China

CorrespondingAuthor: YAN Jin Email: manmushishui@sina.cn

Abstract

Objective: To explore the application of modified midline catheters and peripherally inserted central catheter (PICC) in patients with advanced tumor venous nutrition support. Methods: A total of 100 patients with advanced nutritional support for advanced tumor venous nutrition from January 2019 to December 2019 were randomly divided into observation group and control group. The observation group was treated with a modified medium-length catheter for intravenous infusion. The group used PICC for intravenous infusion. The incidence of catheter-related complications and the success rate of one-time catheterization were compared between the two groups of patients. At the same time, the catheter-related medical costs and patient satisfaction of catheterization were compared. Results: The incidence of catheter-related complications in the observation group was significantly lower than that in the control group (P<0.05). The tube placement and maintenance costs in the observation group were significantly reduced compared with the control group (P<0.05). The success rate of one-time catheterization and patient satisfaction of catheterization in the observation group were significantly higher than those in the control group. Conclusion: The improved medium-length catheter is better than PICC in patients with advanced tumor intravenous nutrition support. It has fewer complications, relatively few medical expenses, high success rate of tube placement and high patient satisfaction.
Keywords: advanced tumor; intravenous nutrition support; peripherally inserted central catheter; modified midline catheter; complications