The application of PICC in the preventive chemotherapy after liver transplantation

Abstract

Objective To explore the safety and nursing methods of PICC used by preventive chemotherapy patients with liver cancer after liver transplantation.Methods A total of 60 patients with liver cancer after liver transplantation were treated with PICC for preventive chemotherapy.Complication and abnormal condition were observed during the process of indwelling catheter,drawing catheter,they were compared with 66 paitents with lung cancer who were treated with PICC for preventive chemotherapy after pulmonary lobectomy.The nursing methods for the application of PICC were summarized.Results Comparing this two groups in terms of success rate,the incidence of abnormal catheter removal and phlebitis,the differences were not statistically significant ( P ＞ 0.05 ).In terms of the incidence of unplanned tube drawing and detached,the incomplete healing of puncture point and suspected catheter-related bloodstream infection,the liver transplantation group was significantly higher than the lung cancer group,the difference was statistically significant (P ＜ 0.05).Both of the groups,the incidence of catheter-related bloodstream infection (CRBSI) was 0.Conclusions It is crucial for the security of liver cancer patients with PICC for prophylactic chemotherapy after liver transplantation to standardize strictly aseptic operating,rull the process of catheter maintenance. Key words: Peripherally inserted central catheter (PICC) ; Liver transplantation; Chemotherapy; Nursing