老年结直肠癌患者术后PICC置管化疗的临床观察及护理

目的探讨和观察老年结直肠癌患者术后使用PICC置管化疗的临床效果并总结其护理方法。 方法选取我院全军普通外科中心2012年3月~?2014年3月收治的老年结直肠癌化疗患者120例为研究对象，并随机分为观察组和对照组各60例，观察组患者使用PICC置管化疗，对照组采用浅表静脉留置针法化疗，化疗期间对PICC置管患者进行全面护理。比较两组患者静脉置管期间出现静脉炎、药物外渗、感染等并发症的发生率以及感觉舒适度。 结果观察组患者静脉炎（X²=9.22，P<0.01）、药物外渗（X²=8.57，P<0.05）以及感染（X²=6.98，P<0.05）等并发症的发生率均明显低于对照组，两组患者舒适度对比，观察组明显高于对照组（X²=8.01，P<0.05）。 结论对老年结直肠癌患者采用PICC置管化疗可明显降低静脉炎、药物外渗、感染等并发症的发生率并能提高患者舒适度，值得在临床上推广使用。

The clinical observation and nursing care of elderly colorectal cancer patients who underwent chemotherapy after postoperative PICC catheter insertion

ObjectiveTo investigate the clinical outcome and to summarize the nursing exPerience of PostoPerative aPPlication of PeriPherally inserted central catheter in elder Patient with colorectal cancer during chemotheraPy. MethodsFrom March 2012 to March 2014, 120 elder Patients with colorectal cancers in PLA center of general surgery were randomly divided into study grouP (60 cases, who received PICC) and control grouP (60 cases, who received indwelling stitch into suPerficial venous). During chemotheraPy Period, Patients in study grouP received comPrehensive nursing of PICC. Clinical data were comPared between 2 grouPs, including the incidence of Phlebitis and drug exosmosis, infection and feel of comfortable. ResultsComPared with control grouP, there were significant decrease of incidence of Phlebitis (X²=9.22, P<0.01), drug exosmosis (X²=8.57, P<0.05) and infection (X²=6.98, P<0.05) in study grouP, furthermore with better about feel of comfortable. ConclusionsIncidence of Phlebitis, drug exosmosis and infection were decreased by using PICC during chemotheraPy Period in elder Patients with colorectal cancers, with feeling of comfortable. Therefore, PICC is worth of wide aPPlication.