Application and choice of different intravenous infusion methods for parenteral nutrition in patients with advanced gastric cancer

Abstract

Objective To evaluate the effects of three intravenous infusion modes (disposable venous indwelling needle, central venous catheter, and peripherally inserted central catheter) in patients with advanced gastric cancer for parenteral nutrition. Methods A total of 180 patients with parenteral alimentation were divided into three groups. Patients in group A were disposable venous indwelling needle, but patients in group B with central venous catheterization (CVC catheterization) and patients in group C with peripherally inserted central catheter (PICC transfusion) . Merits and demerits were evaluated in three groups via observing the index of cannula success rate, phlebophlogosis, indwelling time, etc. Results Average indwelling time of three intravenous infusion modes were not identical, and the group PICC catheter time was the longest; although there was no statistical difference in complication incidences (P>0.05) , but the group of CVC and PICC patients with phlebitis situation were better than that of indwelling needle group, and complications were also less than needle group. Conclusions High occurrence rate of phlebophlogosis exists in using disposable venous indwelling needle, which leads to short indwelling time. Risks of deep venous thrombos and infection may happen with the CVC, while come with the longer indwelling time and lower occurrence rate of the phlebophlogosis as well. PICC cost higher, while come with the longer indwelling time and lower occurrence rate of phlebophlogosis. It is suitable for the patients with long-term venous transfusion. Key words: Parenteral nutrition; Stomach neoplasms; Intravenous infusion