摘要
目的探讨化疗结束后输液港维护时间对导管功能及并发症的影响。方法选择2022年2月-2023年2月厦门大学附属第一医院门诊维护输液港的120例患者为研究对象,依据随机抽签法将其分为A组(1个月)、B组(2个月)、C组(3个月),各40例。在化疗疗程结束后对应1、2、3个月返院维护输液港,维护时间达6个月后评价导管功能及并发症发生情况。结果A组患者输液港导管通畅率为97.50%(39/40),B组患者液港导管通畅率为95.00%(38/40),C组患者液港导管通畅率为97.50%(39/40),3组肿瘤患者输液港导管功能比较,差异无统计学意义(χ^(2)=0.683,P>0.05)。A组患者输液港导管血栓率为25.00%(10/40),B组患者输液港导管血栓率为20.00%(8/40),C组患者输液港导管血栓率为25.00%(10/40),3组肿瘤患者输液港导管血栓形成情况比较,差异无统计学意义(P>0.05)。3组均未出现导管相关感染、囊袋感染等并发症。结论规范导管维护的基础上,化疗结束后间隔3个月维护输液港对于肿瘤患者而言是最为优质的选择,值得进一步推广。
Objective To investigate the effect of prolonging the maintenance time of infusion port after chemotherapy on the function of the catheter and the occurrence of complications.Methods A total of 120 patients at the infusion port maintained by the outpatient department of the First Affiliated Hospital of Xiamen University from February 2022 to February 2023 were selected as the study objects and divided into group A(1 month),group B(2 months)and group C(3 months)according to random drawing method,with 40 cases in each group.After the completion of chemotherapy,the patients should return to the hospital every 1 month,2 months and 3 months to maintain the infusion port,and the function of the catheter and the occurrence of complications were evaluated after the maintenance time reached half a year.Results The patency rate of catheters at infusion port of patients in group A was 97.50%(39/40),that of patients in group B was 95.00%(38/40),and that of patients in group C was 97.50%(39/40).There was no statistical significance in the function of catheters at infusion port of cancer patients among the three groups(χ^(2)=0.683,P>0.05).The rate of catheter thrombosis at infusion port in group A was 25.00%(10/40),the rate of catheter thrombosis at infusion port in group B was 20.00%(8/40),and the rate of catheter thrombosis at infusion port in group C was 25.00%(10/40).There was no statistical significance in the formation of catheter thrombosis at infusion port in tumor patients between the three groups(P>0.05).There were no complications such as catheter-related infection and pouch infection in three groups.Conclusion On the basis of standardized catheter maintenance,maintaining infusion port at an interval of 3 months after the end of chemotherapy is the best choice for tumor patients,and it is worthy of further promotion.
作者
林丽萍
赵海军
林珠豆
LIN Liping;ZHAO Haijun;LIN Zhudou(Department of Hematology,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2024年第11期178-181,共4页
China Health Standard Management
基金
福建省自然科学基金项目(2020J011239)
关键词
化疗
肿瘤患者
输液港
维护时间
导管功能
并发症
chemotherapy
tumor patient
infusion port
maintenance time
catheter function
complication
