颈外静脉与前臂静脉留置针在持续滴注化疗药物中的对比研究.pdfVIP

RI沪E2OM第 11 卷第四 颈外静脉与前臂静脉留置针在持续滴注 化疗药物中的对比研究 陈少明 4牛秀容张彬蔡矫霞 Z摘要】 目的 通过颈外争品在与前臂静脉留亘针方式的比较研究，探讨如何减少化疗患 者脉il及并发症的发生率和化疗中再次静脉穿刺的发生率，从而提高患者生活自泼能力及 生活质量.方法 对100 iJ.J 鼻咽痕患者用 5一FU 加入微量泵进行持续滴注3 d，用随机分组法 将患者分为领外静脉留重组〈简称 A组)与前管势脉留置纽〈简称 B 纽)进行.[(!j 床观察与研究. 结果 A组患者能留针 1 次完成整个化，疗疗程者为 100% ， B组为 76% ，经统计学处理有显著 位差异(PO. OOl) . A 纽患者，争脉炎发生牟 6% ， B 组为 36%.组i司比较有显著.!i差异(P 0.001). A 纽患者并发症发生牟为 2% ， B 组为 12% ，组间比较元旦著士生差异(p O.OS. A 组患者生活自理能力基本正常，B 组患者生活自.I.t能力较差，常人照顾. 绩论 在待续漓注化 疗药物中选用颈外伶脉91 豆针的效果明显优于前臂静脉留置针方式，值得临床拉广. E关.词】颈外静脉前臂静脉留盖针化疗持续滴泣 Reseaclt for Continuous Infusing with lndwelled Ne创le in Exte,rnaI JuguJar Vein or Fore缸四 Vein in Chemo- tberapy αen Shaoming ,Xu xiurong ,Zhang Bi 1l,Cai ] iaoxia . (The Affiliated Tumor Hospital. Medical Co!lege of Shantou U阳、，ersity ， ShantOu 515031 ,China) (Abstract] Obj配ti四 10 compare indwelled needle in external iugular vein with in forearm vein , so as to prevent from phlebitis and complication and puncture agaín in chemotherapy ,ímprove the pa- tients quality of life. Metb创5 One hundred pat ients o! nasopharyngeal carcinoma who were continuou5 in!used 5 - FU with pump for 72 hours were randomly divided into two groups; 50 patients ( group A) were continuous infused with indwelled needJe in external j ugular vein ,olher cases (group B) were in forearm vei凡 R白白115 ln group A all the patients could complete the whole course, o! chemotherapy with being punctured once .but the rate of being punctured once wa s 76 % in group B ( P O. 001) . The rate of phlebitis was 6% in group A compared 1036% 川 group B CP O. 001) . The complication rates between in group A(2%)and in group B(12%)weren t significant di[ferent (P 0.05). Group A all could lived by themselves and the other group needed help for líve. Concluslons Continuous infusing wíth indwelled needle in cxternal ju gular vein in chemotherapy is better than in forearm 时in， wo