Systematic evaluation on application effects of peripherally inserted central catheter and venous port access in tumor patients with chemotherapy
10.3969/j.issn.1671-8348.2018.04.021
- VernacularTitle:PICC与VPA在肿瘤化疗患者中应用效果的系统评价
- Author:
Yan LV
1
;
Baoling WEI
;
Meiling HUANG
;
Sijin GUO
Author Information
1. 空军军医大学西京医院甲乳血管外科
- Keywords:
peripherally inserted central catheter;
venous port access;
neoplasms;
chemotherapy;
systematic review
- From:
Chongqing Medicine
2018;47(4):502-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the application efficacies of the peripherally inserted central catheter (PICC) and venous port access (VPA) during chemotherapy in the patients with malignant tumor.Methods The research data published in CNKI,WanFang Database and Pubmed Database were collected from October 2008 to December 2016.The related researches were screened according to the inclusion criteria.Then the meta analysis was performed by using the Revman Manager 5.3 software.Results Finally 63 articles were included for conducting the meta analysis,involving 11 296 patients.The one-time catheter placing success rate of VPA and PICC was investigated by 30 included articles,and the merged effect showed that the difference had no statistical significance (OR =0.96,95 ％ CI:0.75-1.23,P＞0.05).The analysis results of 16 articles showed that the proportion of the catheter indwelling time ≥ 1 year in the patients adopting VAP was higher than that in the patients adopting PICC (OR =27.17,95 ％ CI:18.08-40.83,P＜0.05).The incidence rate of complications in the patients adopting VPA was lower than that in the patients adopting PICC (OR =0.19,95 ％ CI:0.16-0.22,P＜0.01).The living quality of VPA and PICC was investigated by 11 included articles,which showed that the living quality in the VAP group was significantly higher than that in the PICC group (OR=8.53,95％CI:5.88-12.38,P＜0.05).Conclnsion The indwelling time of VPA during chemotherapy in the patients with malignant tumor is longer,the incidence rate of complications is lower and the patient's living quality is higher.
