摘要
目的:探讨经外周静脉置入中心静脉导管(PICC)置管的肠外营养支持在胃肠手术患者中的应用效果。方法:选择本院2019年1月~2020年9月收治的胃肠道肿瘤手术患者120例为研究对象,根据患者围术期不同营养支持方法,将其分为PICC组(60例)和CVC组(60例),比较两组置管时间、一次性置管成功率及置管7d后营养支持效果。结果:PICC组置管时间(5.67±1.21)min少于CVC组(8.14±2.33)min,一次性置管成功率(96.67%)高于CVC组(86.67%),差异有统计学意义(P<0.05);两组置管7d后血红蛋白、血清蛋白均有所降低,但与术前比较差异无统计学意义(P>0.05);两组置管前及置管7d后组间血红蛋白、血清蛋白比较差异均无统计学意义(P>0.05)。结论:PICC置管的肠外营养支持可有效改善胃肠肿瘤患者术后营养状况,且置管操作时间短,一次性置管成功率高。
Objective:To investigate the effect of parenteral nutrition support with peripherally inserted central catheter(PICC)in patients undergoing gastrointestinal surgery.Methods:120 patients with gastrointestinal tumor surgery in our hospital from January 2019 to September 2020 were selected as the research objects.According to the different nutritional support methods in perioperative period,they were divided into PICC group(60 cases)and CVC group(60 cases).The catheterization time,success rate of one-time catheterization and nutritional support effect after 7 days of catheterization were compared between the two groups.Result:He catheterization time of PICC group was(5.67±1.21)min,which was shorter than that of CVC group(8.14±2.33)min,and the one-time success rate of catheterization(96.67%)was higher than that of CVC group(86.67%),and the difference was statistically significant(P<0.05);hemoglobin and serum protein of two groups decreased after 7 days of catheterization,but there was no significant difference compared with that before operation(P>0.05)There was no significant difference in protein(P>0.05).Conclusion:PICC parenteral nutrition support can effectively improve the nutritional status of patients with gastrointestinal cancer,and the operation time is short,and the success rate of one-time catheterization is high.
作者
张晨
ZHANG Chen(Nutrition Department of Tianjin Beichen Hospital,Tianjin 301900)
出处
《中国医疗器械信息》
2021年第10期86-87,共2页
China Medical Device Information
关键词
外周静脉
中心静脉
胃肠肿瘤
营养支持
peripheral vein
central vein
gastrointestinal tumor
nutritional support
