快速康复外科对胃癌手术患者临床指标及术后并发症的影响

Clinical effect of improved subclavian vein catheterization versus internal jugular vein catheterization in patients with alimentary canal neoplasms

AIM: To evaluate the clinical effect and application value of improved subclavian vein catheterization in patients with alimentary canal neoplasms.

METHODS: One hundred and thirty patients with alimentary canal neoplasms who required deep vein catheterization were divided into either an observation group or a control group. The observation group underwent improved subclavian vein catheterization, while the control group underwent internal jugular vein catheterization. The success rate of catheterization, catheterization time, applicator replacement times, patient discomfort, patient preference, catheterization-related infections, catheter migration, and inadvertent arterial puncture were compared between the two groups.

RESULTS: Both groups had a high success rate of catheterization, and there was no significant difference in the success rate of catheterization between the two groups (98% vs 100%, P > 0.05). The average catheterization time (19.7 d ± 5.2 d vs 11.5 d ± 4.2 d, P < 0.05), average applicator replacement times (2.6 times/wk ± 0.7 times/wk vs 3.7 times/wk ± 1.1 times/wk, P < 0.05), and the number of patients developing treatment discomfort (13 vs 65, P < 0.05) differed significantly between the observation group and control group. In addition, the incidences of catheter-related infections, catheter migration, inadvertent arterial puncture, cardiac arrhythmia, pneumothorax, puncture site bleeding or exudate were better in the observation group than in the control group (all P < 0.05).

CONCLUSION: Compared to internal jugular vein catheterization, improved subclavian vein catheterization is associated with longer catheterization time and fewer complications in patients with alimentary canal neoplasms.