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为探讨方便、可靠的化疗穿刺法,提高化疗的安全性,分别用普通动脉穿刺法和留置针穿刺法对10例脑胶质瘤病人行经颈总动脉化疗40次。结果表明:两种方法在首次穿刺成功率上经统计学处理,χ2=0513,P>005,无显著性差异。说明应用留置针穿刺法化疗不降低首次穿刺成功率。但在重复穿刺率及外漏率上经统计学处理,χ2=9453、6805,均P<001,差异有非常显著性。提示:应用留置针法对保护颈总动脉及周围组织,降低重复穿刺及外漏率,减轻病人化疗时的痛苦,提高化疗效果有重要作用。
In order to explore the convenient and reliable chemotherapy puncture method and improve the safety of chemotherapy, 10 cases of glioma patients underwent common carotid artery chemotherapy 40 times by ordinary arterial puncture and indwelling needle puncture respectively. The results showed that the two methods in the success rate of the first puncture by the statistical analysis, χ2 = 0 513, P> 0 05, no significant difference. Application of indwelling needle puncture chemotherapy does not reduce the success rate of the first puncture. However, repeated puncture rate and leakage rate by the statistical analysis, χ2 = 9 453,6 805, all P <0 01, the difference was significant. Tip: indwelling needle method for the protection of the common carotid artery and surrounding tissue, reduce repeated puncture and leakage rate, reduce the patient chemotherapy pain, improve the effect of chemotherapy has an important role.