【摘要】 目的比较输液港(IVAP)与外周静脉置入中心静脉导管(PICC)在乳腺癌术后辅助化疗患者中的应用效果。方法回顾性分析2014年1月至2016年12月南通市第三人民医院甲乳外科收治的60例早期乳腺癌术后辅助化疗的患者,按不同处理方法分为IVAP组30例和PICC组30例,观察两组患者的临床费用、并发症及生活自理能力的指标差异。结果 IVAP组患者总并发症的发生率(20.00%)低于PICC组(46.67%);IVAP组患者在洗澡、穿衣、如厕及床椅移动等自理活动方面优于PICC组;但IVAP组患者平均每次化疗置管及维护费用[(1 376.00±304.17)元]高于PICC组[(433.35±234.98)元],差异均具有统计学意义(P<0.05)。结论若不考虑费用因素,IVAP可作为乳腺癌患者术后化疗深静脉留置的首选途径。更多还原

【Abstract】 Objective The aim of this study is to compare the differences between venous access port( IVAP) and peripherally inserted central catheter( PICC) for the breast cancer patients receiving postoperative adjuvant chemotherapy. Methods Sixty cases with early breast cancer receiving postoperative adjuvant chemotherapy were divided into IVAP group and PICC group according to the treatment,with 30 cases in each group. Treatment cost,complications and life self-dependence abilities were compared between the two groups.Results The incidence of complications in IVAP group( 20. 00%) was lower than that in PICC group( 46. 67%). Abilities of self-dependence including washing,dressing,defcation and moving in patients from IVAP group were significantly greater than those in PICC group. However,the average cost of patients in IVAP group were higher than that in PICC group( [1 376. 00±304. 17]yuan vs [433. 35±234. 98]yuan) significantly.( P < 0. 05). Conclusions IVAP is an effective method for breast cancer patients receiving postoperative chemotherapy.更多还原