恶性肿瘤患者全植入式静脉输液港相关并发症的高危因素研究.docVIP

恶性肿瘤患者全植入式静脉输液港相关并发症的高危因素研究 江苏省徐州市屮心医院肿瘤内科 江苏 徐州221009) 目的 探讨全植入式静脉输液港(Totally implantable venous access ports, TIVAP)相关并发症的高危因素，对恶性肿瘤患者正确选择全植入 式静脉输液方式提供指导意义。方法将我院于2012年10月至2013年12月住 院的389例恶性肿瘤并植入输液港患者作为研究对象，其屮将身体质量指数(BIM) 位于18.5?28 Z间的183例患者作为对照组(2183)；将身体质量指数(BIM)) M28和W 18.5的206例患者作为观察组，并将观察组划分为儿童组36例(n二36), 肥胖组109例(2 109),消瘦组61例(n=61)o观察分析全身感染、插入输液 港针失败、穿刺处皮肤溃烂三项指标。结果①肥胖组插入输液港针失败并发症 发生率(4.6%)与对照组(0.55%)相比显著增高(p0.05)o②消瘦组局部皮 肤溃烂并发症发生率(6.6%)显著高于对照组(1.1%) (p0.05)o③儿童组全 身感染的并发症发生率(8.3%)与对照组(0.05%)相比显著增高(p0.05)o 结论 恶性肿瘤全植入式静脉输液港患者并发症的高危因素可能是儿童容易并 发全身感染；肥胖患者容易并发插入输液港针失败；消瘦患者容易并发穿刺处皮 肤溃烂感染。 关键词 恶性肿瘤；全植入式静脉输液港；并发症；高危因素 To study the high risk factors of complications related to totally implantable venous infusion port Zhang Chun lan，Liu Hong mei, Zhang Fang，Zhang Yuan hong 1. Department medicine tumour of the xuzhou central hospital, 221009, China； 2. Medical college of xuzhou, 221004, China [Abstract] Objective To investigate the totally implantable venous access ports (TIVAP) related risk factors for complications, provide guidanee for malignant tumor patients with correct choice of totally implantable venous infusion method. Methods we will our research the 389 cases of malignant tumor patients in our hospital from 2012 October to 2013 December. The experimental group into three groups group of children (n= 36), the obesity group (n二 109), the marasmus group (n 二 61)； control group (n=283) . Systemic infecti on, impla nted catheter off a nd puncture skin fester infection three indicators were observed. Results ①The impla nted catheter off complicatio n of obesity group was in creased sign ifica ntly compared with control (p0.05) . (2)The local fester skin complication of the over marasmus group was sig nifica ntly higher than that of c on trol group (p0.05). ③ The systemic infectio n complicatio n of the young childre n group was in creased significantly compared with control (p0.05) ? Conclusion Risk factors for malignant tumors around the implanted venous port