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输液港与外周静脉置入中心静脉导管在乳腺癌术后辅助化疗患者中的应用分析
作者姓名:丁磊  丁彩云  黄冬梅  殷飞  许桐林  王小燕
作者单位:南通市第三人民医院,江苏省南通卫生高等职业技术学校,南通市第三人民医院,南通市第三人民医院,南通市第三人民医院,南通市第三人民医院
摘    要:目的 比较输液港(IVAP)与外周静脉置入中心静脉导管(PICC)在乳腺癌术后辅助化疗患者中的应用效果。方法 回顾性分析2014年 1月至2016年12月南通市第三人民医院甲乳外科收治的60例早期乳腺癌术后辅助化疗的患者,按不同处理方法分为IVAP组30例和PICC组30例,观察两组患者的临床费用、并发症及生活自理能力的指标差异。结果 IVAP组患者总并发症的发生率(20.00%)低于PICC组(46.67%);IVAP组患者在洗澡、穿衣、如厕及床椅移动等自理活动方面优于PICC组;但IVAP组患者平均每次化疗置管及维护费用(1376.00±304.17)元]高于PICC组(433.35±234.98)元],差异均具有统计学意义(P<0.05)。结论 IVAP是乳腺癌患者术后化疗深静脉留置的有效方法。

关 键 词:输液港  外周静脉置入中心静脉导管  乳腺癌  化疗
收稿时间:2018/3/17 0:00:00
修稿时间:2018/5/4 0:00:00

Comparison of venous access port and peripherally inserted central catheter in postoperative adjuvant chemotherapy for breast cancer patients
Authors:Ding Lei  Ding Caiyun  Huang Dongmei  Yin Fei  Xu Tonglin and Wang Xiaoyan
Institution:Thyroid and Breast Surgery,Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu,;Department of Nursing,Nantong Higher Vocational Health School,Nantong,Jiangsu,Department of Nursing,Nantong Higher Vocational Health School,Nantong,Jiangsu,Thyroid and Breast Surgery,Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu,Thyroid and Breast Surgery,Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu,Thyroid and Breast Surgery,Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu,Thyroid and Breast Surgery,Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu
Abstract:Objective The aim of this study is to compare the differences between venous access port (IVAP) and peripherally inserted central catheter (PICC) for the breast cancer patients receiving postoperative adjuvant chemotherapy. Methods Sixty cases with early breast cancer receiving postoperative adjuvant chemotherapy were divided into IVAP group and PICC group according to the treatment, with 30 cases in each group. Treatment cost, complications and life self-dependence abilities were compared between the two groups. Results The incidence of complications in IVAP group (20.00%) was lower than that in PICC group (46.67%). Abilities of self-dependence including washing, dressing, defcation and moving in patients from IVAP group were significantly greater than those in PICC group. However, the average cost of patients in IVAP group were higher than that in PICC group (1376.00± 304.17] yuan vs 433.35 + 234.98] yuan) significantly. (P<0.05).Conclusion IVAP is an effective method for breast cancer patients receiving postoperative chemotherapy.
Keywords:Implantable venous access port    Peripherally inserted central catheter    Breast cancer    Chemotherapy
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