两种路径中心静脉置管在老年肿瘤患者中的应用比较

目的：比较外周置入中心静脉导管（PICC）和锁骨下静脉置管在老年肿瘤患者中应用的效果。方法：将286例患者随机分为HCC组（A组）136例和锁骨下静脉置管组（B组）150例，分别观察两组首次插管成功率及并发症发生情况。结果：A组与B组首次穿刺成功率比较，P〈0．001，差异有统计学意义。各种并发症中，误穿动脉、皮下气肿及静脉炎的发生率，两组间差异均有统计学意义（P=0．010，0．024，0．000）。因并发症导致弃管，两组间差异有统计学意义（P=0．047）。结论：PICC穿刺成功率高，并发症轻微，可以在老年肿瘤患者中推广应用。

Comparison of applying effect between peripherally inserted central catheter (PICC) and subclavian vein inserted catheter in old patients with tumor

Objective: To compare the effect of applying between peripherally inserted central catheter(PICC) and subclavian vein inserted catheter in old patients with tumor.Methods:By random sampling,286 old patients with tumor were enrolled in this study.They were divided into two groups: 136 patients for group A which were applied to PICC,and 150 patients for group B which were applied to subclavian vein inserted catheter.The rate of the first success of inserting catheter and the complications were observed in two groups respectively.Results:There were significant difference in the rate of the first success compared group A with group B(P<0.001).The incidence rate of missing puncture of arterial,cutaneous emphysema and phlebitis were also significant difference among the complications(P= 0.010,0.024,0.000 respectively),so was the rate of abandoning catheter caused by complications(P= 0.047).Conclusion:This study suggests that PICC could be applied to old patients with tumor extensively.