乳腺癌化疗采取外周穿刺中心静脉置管及前臂静脉留置针给药静脉炎发生情况观察.docVIP

乳腺癌化疗采取外周穿刺中心静脉置管及前臂静脉留置针给药静脉炎发生情况观察【摘要】 目的 探讨乳腺癌化疗采取外周穿刺中心静脉置管与前臂静脉留置针给药静脉炎发生情况比较。方法 2009年1月至2011年1月收治的化疗乳腺癌患者185例，分为中心静脉置管组105例，前臂静脉留置针组80例，观察两组静脉炎发生情况并比较。结果 前臂静脉留置针组发生静脉炎62例，静脉炎发生率77.5%；外周穿刺中心静脉置管组发生静脉炎13例，静脉炎发生率12.38%。结论 外周穿刺中心静脉置管穿刺方法简单，易操作，留管时间长，并发症少，能够充分保证患者化疗，减少和防止化疗导致的静脉炎及渗漏性损伤的发生。? 【关键词】 乳腺癌化疗;外周穿刺中心静脉置管;前臂静脉留置针;静脉炎 ?? The obseration of breast cancer chemotherapy to peripherally inserted central venous catheter and administration of the forearm intravenous catheter phlebitis First People?s Hospital of Henan Shangqiu,Shangqiu 476100,China ? 【Abstract】 Objective To investigate the breast cancer chemotherapy to peripherally inserted central venous catheter and administration of the forearm intravenous catheter phlebitis context.Methods From January 2009 to January 2011 breast cancer patients treated with chemotherapy.185 patients divided into the central venous catheter group 105 patients forearm intravenous catheter group, 80 cases were observed and compared the incidence of phlebitis.Results The forearm intravenous catheter phlebitis group, 62 cases of phlebitis rate was 77.5%,peripherally inserted central venous catheter group phlebitis in 13 cases, phlebitis rate was 12.38%.Conclusion The peripherally inserted central venous catheter puncture method is simple, easy to operate, stay in control for a long time, fewer complications, chemotherapy can be fully guaranteed, to reduce and prevent chemotherapy?induced phlebitis and leakage of the injury.? 【Key words】 Breast cancer chemotherapy; Peripherally inserted central venous catheter; Forearm intravenous catheter; Phlebitis ? 乳腺癌是女性常见的恶性肿瘤，其发病率仅次于宫颈癌，近年统计资料表明，有增高的趋势。乳腺癌是一种全身性疾病，在其发生的早期癌细胞可进入血管发生全身播散，基础与 ?? 作者单位：476100河南省商丘市第一人民医院 ? 临床研究证实，乳腺癌在临床确诊时50%～60%已有微小转移灶存在［1］。手术仍为乳腺癌治疗的主要手段，但单纯的手术治疗无法将乳腺癌根治，故作为全身治疗的化疗。化疗是肿瘤内科治疗恶性肿瘤的重要手段，临床常用的给药途径是 ? 究的热点。由于类风湿关节炎病理表现为滑膜组织的异常增生，所以近年来，其与类风湿关节炎发病关系的研究逐渐受到关注［4］。有研究报道RA的关节液及滑膜组织中EGF的含量高于骨关节炎(osteoarthritis, OA) ［5］。Far