两种化疗泵配合PICC在5-氟尿嘧啶持续泵入化疗中应用效果比较.pdfVIP

军医进修学院学报 J CtEEEBese PLA PostErad Med Sch2010Aug, 31 (8) .793 ? 两种化疗泵配合 PICC 在 5- 氟尿嘻昵持续泵入化疗中应用效果比较 张雪花，张海丽，林琳 解放军总医院肿瘤内科，北京 100853 摘要:目的比较两种化疗泵配合 PICC 在于氟尿略院持续泵入化疗中 Jtl 用的效果。方法将 60 例患者随机分为 2 组(球 囊组及电脑组)，化疗前均给予 PICC 置管术，遵医嘱进行 5- 氟尿嗜睫持续 48h 泵人化疗，分别记录泵入时间、与医嘱 要求时间差、电脑细报警次数、原因、处理效果，化疗结束后进行化疗泵对患者生活起居影响的调查并进行组间比较。 结果电脑琐化疗泵泵入药物时间较球囊型精确(P0.01) ，具有报警设置且能及时发现问题及时处理;对患者日常活动的 影响两组无差异 (P0.05) ;对患者更衣及睡眠的影响，电脑理化疗泵大于球囊型化疗泵 (PO.OI) 。结论电脑型化疗泵配合 PICC 进行 5- 氟尿嗜睫持续泵入化疗更准确、安全，可保证药物持续泵入。 关键词:输注泵; PICC; 药物疗法:护理 中固分类号: R47 文献标识码 :A 文章编号: 1 ∞15-1139(2010)08-0793-02 Comparison of the effects of two chemotherapy pumps combined with PICC in 5-FU continuous pump infusion ZHANG Xue-hua, ZHANG Hai-li , LlN Lin Dep削nent of ClinicaI Oncology, Chinese PLA General Hospital, Beijing 1 ∞853 ，China 币le first author: ZHANG Xl屿 -hua. Email: 劝阻g对1227@sina.∞m Abstract: Obj仅tive To comp缸E 由e effects of two chemotherapy pumps combined with PICC in 5-FU continuous pump infusion. Methods Sixty patients were randornly divided into sacculus group and computerized group. A PICC tube was inserted into the patients before chemo出erapy. The patients were given 5-Fu continuous pump infusion for 48h folIowing the doctors advice. Pumping time, time discrepancy, times and cause of computer aIarm, and solution time of problems were recorded. Inftuences of chemotherapy pump on the daily life of patients were compared after chemotherapy. Results Computerized pump with alann device was more accurate than sacculus pump without aIann devise in pumping chemotherapeutic drugs through the PICC rube(PO .OI) and could timely find and solve the problems occurred with n