摘要
目的探讨静脉输液港(VAP)和PICC置管在消化道恶性肿瘤患者中的应用效果和对其生活质量的影响。方法选取VAP和PICC患者各60例,置入VAP或PICC后维护和随访1年,观察置管效果和置管后对患者生活质量的影响。结果两组置管并发症、留置时间和患者的生活质量比较,VAP组显著优于PICC组(P<0.05,P<0.01)。结论 VAP在降低置管并发症,延长留置时间和改善长期使用患者的生活质量上显著优于PICC,但费用较昂贵;需要长期化疗的消化道肿瘤患者应根据临床情况合理选择深静脉置管方式,建议首选VAP。
Objective To compare the effects of venous access port （VAP） and PICC on patients with digestive tract malignancies and the influences on quality of life of patients.Methods A total of 120 patients with digestive tract malignancies,half carrying a VAP,another half a PICC line,were followed up for 1 year.The indexes with regard to venous access and quality of life of patients were recorded and compared.Results The incidence of venous access related complications was lower,the catheter indwell time was longer,and quality of life was higher in the VAP group than in the PICC group（P＜0.05,P＜0.01）.Conclusion VAP outcompetes PICC as it lowers incidence rates of complications,prolongs catheter indwell time,and improves quality of life of patients with digestive tract malignancies,though VAP is more expensive.And a suitable venous access method should be selected with careful consideration for these patients,though VAP is given priority.
关键词
消化道恶性肿瘤
静脉输液港
PICC
生活质量
并发症
化疗
digestive tract malignancy
venous access port
PICC
quality of life
complications
chemotherapy
