摘要
目的比较改良塞丁格技术和传统经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)技术在鼻咽癌患者诱导加同期放化疗中应用的利弊。方法按随机分配原则,单号置管的患者行传统PICC置管设为A组(35例),双号置管的患者行改良塞丁格技术设为B组(30例)。比较两组患者置管后在舒适度、相关并发症、价格方面情况。结果两组患者置管舒适度、并发症总发生率比较,均P<0.05,差异具有统计学意义,改良塞丁格技术优于PICC技术,但改良塞丁格技术的费用高于PICC技术费用。结论改良塞丁格技术提高了诱导加同期放化疗鼻咽癌患者化疗时的舒适度,减少了相关并发症。但传统PICC技术有价格优势,对于血管条件好、经济条件差的患者仍不失为一种可选择的置管方法。
Objective To investigate the effects of modified Seldinger technique（MST）and peripherally inserted central catheters（PICC） applied in patients with advanced nasopharyngeal carcinoma（NPC）treated with induction chemotherapy and concurrent chemoradiotherapy.Methods 65 advanced NPC patients treated with induction chemotherapy and concurrent chemoradiotherapy were divided into two groups：35 of them with odd numbers underwent PICC as group A and 30 of them with even numbers underwent MST as group B.The differences in comfort,complications and expenses were compared between the two groups.Results As for the comfort and the incidence of complications,group B with modified Seldinger technique was superior to group A with PICC statistically significant（both P0.05）.The cost of group B was higher than that of group A.Conclusions The modified Seldinger technique can improve the comfort and reduce the complications in advanced NPC patients undergoing induction chemotherapy and concurrent chemoradiotherapy.PICC is advantageous at price,so it is still an alternative for the patients if only their vascular conditions are proper but their economic conditions are poor.
出处
《现代临床护理》
2012年第9期29-31,共3页
Modern Clinical Nursing
