【摘要】 目的 探讨床旁超声引导下锁骨下静脉输液港置管术在恶性肿瘤患者中的应用效果。方法 根据静脉通路建立方式的不同将80例恶性肿瘤患者分为对照组和观察组，每组40例，对照组患者行外周中心静脉置管术，观察组患者行床旁超声引导下锁骨下静脉输液港置管术。比较两组患者的导管置入相关指标、并发症发生情况、精神心理负担[自我感受负担量表（SPBS）、Herth希望量表（HHI）]、生活质量[癌症患者生命质量测定量表（FACT-G）]。结果 观察组患者置管时间短于对照组，导管留置时间长于对照组，一次性穿刺成功率高于对照组，导管错位、导管堵塞、导管脱出发生率均低于对照组，差异均有统计学意义（P﹤0.05）。观察组患者的并发症总发生率为5.00%，低于对照组患者的17.50%，差异有统计学意义（P﹤0.05）。置管后，两组患者SPBS评分均低于本组置管前，HHI评分均高于本组置管前，观察组患者SPBS评分低于对照组，HHI评分高于对照组，差异均有统计学意义（P﹤0.05）。置管后，两组患者FACT-G各维度评分均高于本组置管前，观察组患者FACT-G各维度评分均高于对照组，差异均有统计学意义（P﹤0.05）。结论 床旁超声引导下锁骨下静脉输液港置管术应用于恶性肿瘤患者效果良好，可减少并发症，减轻精神心理压力，提高生活质量。更多还原

【Abstract】 Objective To investigate the application effect of bedside ultrasound-guided subclavian vein infusion port catheterization in patients with malignant tumors. Method A total of 80 patients with malignant tumors were divided into control group and observation group according to different methods of establishing venous channels, with 40 patients in each group. Patients in the control group underwent peripheral central vein catheterization, while patients in the observation group underwent bedside ultrasound-guided subclavian vein infusion port catheterization. The catheterization related indicators, incidence of complications, psychological burden [self-perceived burden scale(SPBS), Herth hope index(HHI)], and quality of life [functional assessment of cancer therapy-general(FACT-G)] were compared between the two groups. Result The catheter placement time in observation group was shorter than that in control group, the catheter retention time was longer than that in control group, the success rate of one-time puncture was higher than that in control group, the incidences of catheter misalignment, catheter blockage, and catheter dislodgement were lower than those in control group, and the differences were statistically significant(P<0.05). The total incidence of complications in observation group was 5.00%, which was lower than 17.50% in control group, and the difference was statistically significant(P<0.05). After catheterization, the SPBS scores in both groups were lower than those before catheterization, and the HHI scores were higher than those before catheterization, the SPBS score in observation group was lower than that in control group, and the HHI score was higher than that in control group, and the differences were statistically significant(P<0.05).After catheterization, the scores of dimensions of FACT-G in both groups were higher than those before catheterization,the scores of dimensions of FACT-G in observation group were higher than those in control group, and the differences were statistically significant(P<0.05). Conclusion The application of bedside ultrasound-guided subclavian vein infusion port catheterization in patients with malignant tumors has good effective, which can reduce complications and psychological pressure, and improve quality of life.更多还原