彩超引导下PICC与植入式静脉输液港在肿瘤患者应用中的对比

蔡敏; 郝敬春

doi:10.19401/j.cnki.1007-3639.2018.03.019

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彩超引导下PICC与植入式静脉输液港在肿瘤患者应用中的对比

论著 | 更新时间：2025-12-15

- 彩超引导下PICC与植入式静脉输液港在肿瘤患者应用中的对比
- Comparison of color ultrasound-guided peripherally inserted central catheter and implantable venous port access applied in cancer patients
- 肿瘤影像学 2018年27卷第3期页码：222-227
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- DOI：10.19401/j.cnki.1007-3639.2018.03.019
  中图分类号：
- 网络出版：2018-07-26，
  
  纸质出版：2018-07-26
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蔡敏,郝敬春. 彩超引导下PICC与植入式静脉输液港在肿瘤患者应用中的对比[J]. 肿瘤影像学, 2018, 27(3): 222-227 https://doi.

org/10.19401/j.cnki.1007-3639.2018.03.019
蔡敏,郝敬春. 彩超引导下PICC与植入式静脉输液港在肿瘤患者应用中的对比[J]. 肿瘤影像学, 2018, 27(3): 222-227 https://doi. DOI： 10.19401/j.cnki.1007-3639.2018.03.019.

org/10.19401/j.cnki.1007-3639.2018.03.019 DOI：

摘要

目的：

探讨彩超引导下经外周静脉穿刺中心静脉置管术（peripherally inserted central catheter，PICC）与植入式静脉输液港（implantable venous access port，IVAP）在肿瘤患者中应用价值的差异。

方法：

选取2016年1月2018年5月徐州市中心医院肿瘤内科住院部收治的肿瘤患者60例，采用随机数字表法将患者分为彩超引导下PICC组与IVAP组，各30例。

结果：

彩超引导下PICC组置管操作时间为（17.181.23）min，明显短于IVAP组的（20.362.14）min，差异有统计学意义（

=0.000）。彩超引导下PICC组一次性穿刺成功率（96.67%）明显高于IVAP组（73.33%），并发症发生率（3.33%）明显低于IVAP组（26.67%），差异有统计学意义（

=0.025）。出院时，彩超引导下PICC组情绪功能与躯体功能EORTC评分明显高于入院时与IVAP组，差异有统计学意义（

=0.000）。彩超引导下PICC组护理满意度明显高于IVAP组，差异有统计学意义（

=0.025）。

结论：

与IVAP相比，彩超引导下PICC在肿瘤患者中的应用价值更显著，且具有简便、安全的优势，值得临床推广。

Abstract

Objective:

To study the application value of color ultrasound-guided peripherally inserted central catheter (PICC) and implantable venous port access (IVAP) in cancer patients.

Methods:

A total of 60 cancer patients hospitalized from Jan. 2016 to May. 2018 were selected. They were divided into color ultrasound-guided PICC group and IVAP group by random number table

method (each 30 cases).

Results:

The catheter operation time in color ultrasound-guided PICC group [(17.181.23) min

]

was lower than that in IVAP group [(20.362.14) min

]

(

=0.000)

one-time puncture success rate in color ultrasound-guided PICC group (96.67%) was significantly higher than that in IVAP group (73.33%) (

=0.025)

the complication incidence rate (3.33%) was lower than that in IVAP group (26.67%) (

=0.025). When discharged from hospital

the scores of emotion function and physical funetion in EORTC in color ultrasound-guided PICC group were significantly higher than those at admission and in IVAP group (

=0.000). Nursing satisfaction rate in color ultrasound-guided PICC group was obviously higher than that in IVAP group (

=0.025).

Conclusion:

Compared with IVAP

color ultrasound-guided PICC has more significant application value in cancer patients

with the advantages of simple and safe

and it is worthy of clinical popularization and application.

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