经外周静脉穿刺中心静脉置管与植入式静脉输液港在肺癌患者化疗中的应用效果比较

[摘要] Abstract：ABSTRACT: Objective To compare the therapeutic effect between peripherally inserted central catheter (PICC) and venous port access (VPA) on treatment of lung cancer patients with chemotherapy. Methods A total of 120 patients with lung cancer were randomly divided into PICC group and VPA group, 60 cases in each group. The one-time success rate of catheterization, indwelling time, incidence rate of catheter-related complications and scores of quality of life were compared between two groups. Results The success rate of the VPA group was 100%, which was no significant difference with 96.67% in the PICC group (P>0.05). The number of patients with indwelling time over one year in the VPA group was 52, which was larger than 32 in the PICC group (P＜0.05). The incidence rate of catheter-related complications in the VPA group was 1.3%, which was significantly lower than 5.6% in the PICC group (P<0.05). The number of patients with score of quality of life over B grade was 42 (70%) in the VPA group, which was more than 28 (46.67%) in the PICC group (P<0.05). Conclusion The VPA group is significantly better than the PICC group in the indwelling time, complications and quality of life (P<0.05). If the price factor is not considered, VPA should be the first choice for the patients with lung cancer.

[学科分类] 护理学