超声引导下上臂静脉植入式输液港的应用及并发症分析
|
摘要
目的探讨超声引导下上臂静脉植入式输液港的应用及并发症分析。方法收集2015年5月-2017年8月行输液港植入的314例患者的临床资料,将其分为上臂静脉植入组(n=155)和中央静脉植入组(n=159)。比较2组穿刺置管成功率、近远期的并发症及舒适度。结果 2组一次穿刺置管成功率比较,差异无统计学意义(χ~2=0.248,P=0.618),上臂静脉植入组的导管异位、输液不畅、导管脱落、导管夹闭综合征发生率低于中央静脉植入组;患者舒适度高于中央静脉植入组(Z=-3.688,P<0.001)。结论超声引导下上臂静脉植入式输液港在一定程度上提高了护理人员的工作效率,且安全性及舒适度更高。
Objective To analyze the application of the ultrasound-guided implantable infusion port through the upper arm vein and its complications. Methods Totally 314 patients implanted the transfusion port between May 2015 and August 2017 were selected and randomly divided into an experimental group(n=155) and a control group(n=159). For the experimental group, the venous port access system was implanted through the upper arm under the ultrasound guidance, while in the control group, the port was implanted through the right subclavian vein. The success rate of one punctuer, short-term and long-term complication and comfort were compared between the two groups. Results There was no significant difference in the success rate of one punctuer between the 2 groups(χ~2=0.248,P=0.618). Significant differences were found between the two groups in the catheter misplacement, transfusion obstacles, falling of the catheters and catheter closure syndrome. The comfort of the experimental group was significantly higher than that of the control group(Z=-3.688,P<0.001). Conclusion The ultrasound-guided infusion port through the upper arm vein can improve the working efficiency of the nursing staff to a certain extent, with higher safety and comfort.
Objective To analyze the application of the ultrasound-guided implantable infusion port through the upper arm vein and its complications. Methods Totally 314 patients implanted the transfusion port between May 2015 and August 2017 were selected and randomly divided into an experimental group(n=155) and a control group(n=159). For the experimental group, the venous port access system was implanted through the upper arm under the ultrasound guidance, while in the control group, the port was implanted through the right subclavian vein. The success rate of one punctuer, short-term and long-term complication and comfort were compared between the two groups. Results There was no significant difference in the success rate of one punctuer between the 2 groups(χ~2=0.248,P=0.618). Significant differences were found between the two groups in the catheter misplacement, transfusion obstacles, falling of the catheters and catheter closure syndrome. The comfort of the experimental group was significantly higher than that of the control group(Z=-3.688,P<0.001). Conclusion The ultrasound-guided infusion port through the upper arm vein can improve the working efficiency of the nursing staff to a certain extent, with higher safety and comfort.
引文
[1] 魏晓琳,邢鹏,李丽莉.植入式输液港与PICC在乳腺癌化疗中的应用的比较[J].中国医科大学学报,2015,44(5):476-477.
[2] 尹杰,张宪生,郭宏杰,等.经颈外静脉放置全植入式输液港在肿瘤化疗中的应用[J].中国微创外科杂志,2015,15(3):210-214.
[3] 黄翠红,陈秀梅,黄翠娟,等.植入式静脉输液港与经外周中心静脉置管在化疗患者中的应用效果比较[J].广东医学,2016,37(3):472-473.
[4] Jordan K,Behlendorf T,Surov A,et al.Venous Access Ports:Frequency and Management of Complications in On-cology Patients[J].Onkologle,2008,31(7):404-410.
[5] 王今,梁琳,熊壮,等.肿瘤患者应用植入式静脉输液港与中心静脉置管效果的Meta分析[J].中华疾病控制杂志,2015,19(11):1158-1161,1173.
[6] 周涛,唐甜甜,李云涛,等.植入式静脉输液港两种不同植入方式对比研究(附2897例分析)[J].中国实用外科杂志,2015,35(7):753-755.
[7] 王彦惠.舒适护理在腰椎间盘突出患者护理中的应用效果体会[J].中国实用医药,2018,13(4):137-139.
[8] 左琼,邬祖霞,王兴兵.完全性植入静脉输液港与PICC在血液科护理的中、短期随访分析[J].安徽医药,2015,19(10):2035-2036.
[9] 国仁秀,查云萍.植入式静脉输液港在肿瘤化疗中的应用及护理进展[J].护士进修杂志,2015,30(15):1363-1365.
[10] 王丽英,薛嵋.完全植入式静脉输液港患者选择态度及使用体验的质性研究[J].护理学杂志,2015,30(10):58-60.
[11] 吴胜菊,全小明,赵文韬,等.上臂植入式输液港与中央静脉植入式输液港的应用比较[J].护理学报,2014,21(12):55-57.
[12] 仇晓霞,金光鑫,郭艳,等.超声导引下上臂完全植入式输液港植入临床应用[J].介入放射学杂志,2017,26(8):689-694.
[13] 张晓玲,许英娜,汪丹,等.植入式静脉输液港与外周静脉穿刺中心静脉置管在肿瘤化疗中的临床应用[J].中国医药导报,2015,12(17):136-139.
[14] Ricci KS,Martinez F,Lichtiger B,et al.Septic transfusion reactions during blood transfusion via indwelling central venous catheters[J].Transfusion,2014,54(10):2412-2418.
[15] 黎燕红,黄翠霞,刘艳平.经上臂静脉植入静脉输液港的临床应用及护理[J].广州医学院学报,2015,43(1):85-87.
[2] 尹杰,张宪生,郭宏杰,等.经颈外静脉放置全植入式输液港在肿瘤化疗中的应用[J].中国微创外科杂志,2015,15(3):210-214.
[3] 黄翠红,陈秀梅,黄翠娟,等.植入式静脉输液港与经外周中心静脉置管在化疗患者中的应用效果比较[J].广东医学,2016,37(3):472-473.
[4] Jordan K,Behlendorf T,Surov A,et al.Venous Access Ports:Frequency and Management of Complications in On-cology Patients[J].Onkologle,2008,31(7):404-410.
[5] 王今,梁琳,熊壮,等.肿瘤患者应用植入式静脉输液港与中心静脉置管效果的Meta分析[J].中华疾病控制杂志,2015,19(11):1158-1161,1173.
[6] 周涛,唐甜甜,李云涛,等.植入式静脉输液港两种不同植入方式对比研究(附2897例分析)[J].中国实用外科杂志,2015,35(7):753-755.
[7] 王彦惠.舒适护理在腰椎间盘突出患者护理中的应用效果体会[J].中国实用医药,2018,13(4):137-139.
[8] 左琼,邬祖霞,王兴兵.完全性植入静脉输液港与PICC在血液科护理的中、短期随访分析[J].安徽医药,2015,19(10):2035-2036.
[9] 国仁秀,查云萍.植入式静脉输液港在肿瘤化疗中的应用及护理进展[J].护士进修杂志,2015,30(15):1363-1365.
[10] 王丽英,薛嵋.完全植入式静脉输液港患者选择态度及使用体验的质性研究[J].护理学杂志,2015,30(10):58-60.
[11] 吴胜菊,全小明,赵文韬,等.上臂植入式输液港与中央静脉植入式输液港的应用比较[J].护理学报,2014,21(12):55-57.
[12] 仇晓霞,金光鑫,郭艳,等.超声导引下上臂完全植入式输液港植入临床应用[J].介入放射学杂志,2017,26(8):689-694.
[13] 张晓玲,许英娜,汪丹,等.植入式静脉输液港与外周静脉穿刺中心静脉置管在肿瘤化疗中的临床应用[J].中国医药导报,2015,12(17):136-139.
[14] Ricci KS,Martinez F,Lichtiger B,et al.Septic transfusion reactions during blood transfusion via indwelling central venous catheters[J].Transfusion,2014,54(10):2412-2418.
[15] 黎燕红,黄翠霞,刘艳平.经上臂静脉植入静脉输液港的临床应用及护理[J].广州医学院学报,2015,43(1):85-87.