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目的:临床观察结直肠癌患者进行PICC置管导致机械性静脉炎的防治方法及效果。方法:选取2016年1月~2017年1月在本院肿瘤科进行化疗的结直肠癌患者100例作为研究对象,对所有患者行PICC置管治疗,观察、统计患者插管的成功率、置管时间、机械性静脉压的发生率,并根据症状制定有效的预防对策。结果:在100例患者中,有82例患者一次性顺利插管,成功率为(82%),置管时间为16~358d,平均置管时间(187±5.4)d,其中有28例患者发生机械性静脉炎,发生率为(28%),经过治疗后在5~10d内痊愈。结论:进行化疗的结直肠癌患者需要通过PICC置管建立静脉通道,并且要在置管过程中进行严格的操作、提供细致的预防对策,从而降低机械性静脉炎的发生率。
Objective: To observe the method and effect of prevention and treatment of mechanical phlebitis caused by PICC catheter in patients with colorectal cancer. Methods: From January 2016 to January 2017, 100 patients with colorectal cancer who underwent chemotherapy in the oncology department of our hospital were enrolled in this study. PICC catheterization was performed on all patients. The success rate of intubation was observed and counted. Tube time, the incidence of mechanical venous pressure, and based on the symptoms to develop effective preventive measures. RESULTS: Of the 100 patients, 82 were successfully intubated at one time, with a success rate of 82%, catheterization time of 16-358 days, and mean catheterization time of 187 ± 5.4 days, of which 28 patients The occurrence of mechanical phlebitis, the incidence was (28%), after treatment within 5 ~ 10d heal. CONCLUSIONS: Colorectal cancer patients undergoing chemotherapy need intravenous access through a PICC catheter and undergo rigorous procedures during catheterization to provide careful prevention strategies that reduce the incidence of mechanical phlebitis.