摘 要：目的：对比肿瘤患者在化疗过程中是否留置中心静脉插管对静脉炎发生率的影响。方法：96例胃肠道和肺部恶性肿瘤患者在化疗过程中，40例患者采用经周围静脉置入中心静脉插管(PICC)的方法进行输液化疗，另外56例则采用一般的周围静脉输液的方法，分别观察其静脉炎的发生率和对化疗的依从性。结果：PICC组无一例出现静脉炎，而对照组有31例出现静脉炎，P<0.01,两者的差别有统计学意义。对照组有6例因为严重静脉炎需要改变化疗方案。结论：经周围静脉置入中心静脉插管(PICC)有助于减少静脉炎的发生率，增加病人对化疗的依从性。

    关键词：中心静脉插管； 静脉炎

    Decrease Phlebitis by Central Catheterization from Peripheral Vein

    YANG Yan-jiao, CHEN Jiang-sheng

    (The Second Affiliated Hospital of Shantou Medical College, Guangdong Shantou 515041, China)

    Abstract: Objective:To compare with the occurrence of phlebitis during chemotherapy process of tumor sufferers between the impact of central catheterization from peripheral vein(PICC) and the impact of peripheral vein.Method: 96 patients suffering from malignant tumor underwent chemotherapy, in which 40 cases were administered chemotherapeutic drugs with centre venous catheterization, another 56 cases (control group) were transfused the same drugs from peripheral vein. The occurrence of phlebitis and the dependence on chemotherapy of all the patients were observed. Result: No phlebitis occurred in the patients performed with PICC, while 31 cases in control group manifested phlebitis (P<0.01, compared with the patients undergone PICC). There was a significant statistical difference between the two groups, moreover, 6 cases of the control group had to be changed chemotherapeutic way due to severe phlebitis. Conclusion: PICC is helpful to reducing the occurrence of phlebitis; meanwhile, it also facilitates the dependence on chemotherapy of tumor sufferers. ......