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白血病静脉化疗两种穿刺途径的效果研究 预览 被引量:2

Research on the effects of two puncture methods for Venous chemotherapy of leukemia
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摘要 目的探讨白血病静脉化疗时,经颈内静脉途径和传统的浅静脉(手背静脉、前臂静脉)途径两种方法的利弊,从而根据患者情况选择更合适的途径,以减少并发病,提高患者生活质量。方法将54例经颈内静脉途径化疗者,与75例经浅静脉途径化疗者进行比较。结果经颈内静脉途径者在药物渗漏、静脉炎、便秘和主观不适、自理缺乏的发生率显著低于浅静脉途径者(P〈0.05或P〈0.01或P〈0.001),而二者局部感染发生率差异无统计学意义(P〉0.05)。结论在白血病患者静脉化疗中,选用颈内静脉置管的效果明显优于传统的浅静脉穿刺途径,值得临床推广。 Objective To study the advantage and disadvantage of internal jugular vein puncture and traditional super vein puncture for venous chemotherapy of leukemia ; so as to reduce the complications and improve the quality of patients' lives with the proper puncture method. Methods The effects of internal jugular venous chemotherapy for 54 patients and super venous chemotherapy for 75 patients were compared. Results The rate of agent leak,venous infection, constipation, subjective indisposition and selfcare deficiency were significantly lower in internal iugular vein group(P〈0.05 or P〈0.01). There was no significant difference in the rate of local infection in two groups(P〉0.05). Conclusion The effect of catheter placed in internal jugular vein is obviously better than that placed in super vein for the venous chemotherapy of leukemia patients. It is better to apply internal jugular vein puncture in medical practice.
作者 蒋天秀 李代先 罗凤莲 J IANG Tian-Xiu ,LI Dai-Xian ,LUO Feng-Lian (Second Hospital of Chongqing Medical University, Chongqing 400010,China)
出处 《重庆医学》 CAS CSCD 2007年第7期 621-622,共2页 Chongqing Medical Journal
关键词 白血病 化疗 深静脉(颈内静脉) 浅静脉 leukemia chemotherapy internal jugular vein super vein
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