Application comparision of PICC and VPA value in clinical treatment of cancer chemotherapy patients
10.3760/cma.j.issn.1674-2907.2016.31.020
- VernacularTitle:P ICC与VP A两种置管方式在恶性肿瘤化疗患者中的应用比较
- Author:
Xiaolin JIANG
1
;
Na PENG
;
Huajun WANG
;
Lichun DENG
Author Information
1. 400042 重庆,第三军医大学第三附属医院肿瘤中心
- Keywords:
Cancer;
PICC;
Venous port access
- From:
Chinese Journal of Modern Nursing
2016;22(31):4515-4517
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of peripherally inserted central catheter ( PICC) and venous port access ( VPA) in treatment of cancer patients with chemotherapy therapy. Methods Totally 138 cases of cancer patients with chemotherapy treatment from March 2015 to February 2016 in our hospital were selected as the research object. Patients who needed long-term intravenous administration and total parenteral nutrition were assigned to the experimental group, while the others were assigned to the control group, with 69 cases in each group. Patients in the experimental group were treated with VPA chemotherapy, while patients in the control group were treated with PICC chemotherapy. Indicators such as catheter insertion rate, the rate of accidental extubation, catheter indwelling time, score of quality of life and complications were observed. Results After operation, the catheter insertion rate, overall catheter indwelling time and the score of quality of life at fourth and eighth month in the experimental group were significantly higher than that in the control group, and the rate of accidental extubation in the experimental group was significantly lower than that in the control group ( P<0. 05);in the experimental group, the catheter leakage, bloodstream infections, catheter obstruction and catheter tip incidence of ectopic cases were significantly lower than that in the control group ( P<0.05);and in the experimental group, the average satisfaction score was significantly higher than that in the control group ( t=7. 145,P<0. 05) . Conclusions VPA with chemotherapy catheter treatment is safe and effective for cancer patients with few complications, so it is worthy of further clinical application.