| Objective:Infusion for cancer patients, there are internal jugular vein catheterization, subclavian vein catheterization, femoral vein, peripheral intravenous catheter (PIV) and peripherally inserted central catheters (PICC), but PIV and PICC is more commonly used in clinical practice. PICC catheter is a catheters from peripheral venous puncture to central venous, the catheter material was soft, elastic, less stimulus for vascular patients. The operation of PICC catheter was simple, safe, without anesthesia, it could be carried out under direct vision of vascular and the puncture had high successful rate, fewer complications. Therefore, PICC provides a safe and efficient way for cancer patients in chemotherapy, first aid, intravenous nutrition and other aspects of the treatment, especially for cancer patients requiring long-term transfusion played a key role. PIV is also known as trocar, the puncture needle is made of advanced biological materials. PIV is cheaper than PICC, and the operation is simpler. Its puncture is suitable for patients of any part of the body, thus PIV became one of common clinical fluids. But the demand is higher such as limits on the types and the concentration of the infusion of fluids.Through collecting related information of tumor patients after catheter chemotherapy, this study aimed to evaluate the advantages and disadvantages of PICC and PIV, and provided scientific basis for further improving the life quality of patients after catheter.Data and Methods:Information of characteristics of cancer patients after catheter admitted by a grade 2 hospital in Wulian, Rizhao, Shandong province from 2012.7 to 2014.12 was collected. We described and analyzed the distribution of the patients’characteristics, rate of pain and complications after catheterization. Furthermore we explored the risk factors of pain and operation unrelated complications after catheterization with the univariate and multivariate logistic regression and other methods.Results:There were 123 PICC patients and 200 PIV patients enrolled in this study. The patients’average age of PICC is 58.8±11.5, while the average age of PIV is 57.0±9.2. And 74 patients in PICC group were male, while 130 in PIV group were male. In PICC group,69.9% of the patients were farmers, and 65.0% in PIV group were farmers. PICC and PIV group had patients with monthly salary no more than 1500 yuan, accounting for 84.6% and 79.0% of the group. The characters above had not significantly difference (P>0.05). The distributions of tumor type and drug irritation between the two groups did not show significantly difference (P>0.05). The pain rate in PICC group was 6.5%, while the rate in PIV was 21.0%. The characteristics including age, sex and so on were not associated with pain (P>0.05), except for the catheter type. In PICC group the overall rate of complication was 28.5%, and the rate of operation unrelated complication was 12.2%; while the rates of PIV were respectively 62.5% and 22%. Analyzed by univariate and multivariate methods, there were two risk factors associated with operation unrelated complication significantly, including high white blood cell (OR=4.7, P=0.001) and high prothrombin (OR=32.6, P<0.001).Conclusion:The PICC patients had lower rate of pain than the PIV group. The catheterization was not related with complication, but associated with high white blood cell and high prothrombin. Taking the reducing of complication rate of patient’s pain into consideration, suggest tumor chemotherapy patients adopt PICC catheter. |
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