PICC在大肠癌患者中应用及护理.docVIP

PICC在大肠癌患者中应用及护理[摘要] 目的：探讨外周静脉置入中心静脉导管（PICC）在大肠癌手术及术后化疗患者中的应用及护理。方法：回顾PICC置管在100例大肠癌患者围术期及术后5-FU/LV、FOLFOX4、6方案化疗中的应用、护理及相关并发症处理的临床资料。结果：100例患者均置管成功，所有患者顺利完成经PICC静脉营养等大剂量药物准确输入，减少了化疗患者反复静脉穿刺及药物产生的毒副反应，常见并发症得到了及时的处理。结论：PICC在大肠癌患者中的临床应用效果良好，并发症少，提高了大肠癌患者生活质量。 [关键词] 肿瘤；PICC术；应用护理；化疗 [中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2012）01（a）-107-02 Clinical application and nursing of peripherally inserted central catheter in colen cancer patients LIU Yanru, WANG Xue, ZHAO Xiuling, ZHANG Wenjun* Department of Anus Intestines, Xinhua Hospital Affiliated to Dalian University, Liaoning Province, Dalian 116021, China [Abstract] Objective: To evaluate the clinical application and nursing care of peripherally inserted central catheter (PICC) in colorectal cancer perioperative and postoperative chemotherapy. Methods: This study retros pectively analyzed the clinical data of the perioperative and postoperative 5-FU/LV, FOLFOX4, 6 chemotherapy application, care and treatment of complications in 100 cases of colorectal cancer patients. Results: All patients were all successful cathetered and completed the intravenous nutrition and large dose of peripherally inserted central catheter drug accurately input. The chemotherapy patients avoided to venipuncture repeatedly and reduced the adverse reaction of drug produce. The common complications get timely treatment. Conclusion: The application of peripherally inserted central catheter has good effect and less complications improving the quality of life in patients with colorectal cancer. [Key words] Tumor; Peripherally inserted central catheter art; Nursing; Chemotherapy 外周静脉置入中心静脉导管（peripherally inserted central catheter，PICC）穿刺技术，是一种由外周静脉插入，导管尖端定位于中心静脉的静脉通路建立技术[1]。PICC较传统的中心静脉置管技术操作简便、安全，穿刺成功率高，并发症少，为7 d以上静脉补液及需要多次化疗的肿瘤等需要长期维持静脉通路的患者提供完整而又有效的途径。本文就PICC在大肠癌患者中的应用及护理经验做一简要论述。 1 资料与方法 1.1 一般资料 2010年1月～2011年8月在本科住院的大肠癌手术及术后需行4～6个周期化疗的PICC置管患者100例，其中，男67例，女33例，年龄45～85岁，平均57岁，病理均为大肠癌，其中直肠癌75例，结肠癌25例，病理分期duke’s为ⅡB