不同强度刺激性化疗药物输注顺序对静脉损伤的实验研究
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2017年度湖南省大学生研究性学习和创新性实验计划项目(湘教通[2017]205号)


Experimental study on venous injury induced by different intensities of irritant chemotherapy agents infused at varied sequences
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    摘要:

    目的 探讨联合化疗时不同强度刺激性药物输注顺序对静脉损伤的影响,为临床规范用药提供参考。方法 选用临床常用的 发疱性化疗药盐酸柔红霉素、非发疱性强刺激性化疗药顺铂和非发疱性弱刺激性化疗药环磷酰胺。将普通级健康新西兰兔24只 随机分成8组,A 组先滴注柔红霉素再滴注顺铂、B组先滴注顺铂再滴注柔红霉素、C组单滴注柔红霉素、D组单滴注顺铂、E组先 滴注顺铂再滴注环磷酰胺、F组先滴注环磷酰胺再滴注顺铂、G组单滴注环磷酰胺、H 组滴注生理盐水作为对照组,比较用药48h 后兔耳缘静脉肉眼观静脉炎发生情况和病理改变。结果 化疗药物各组均发生不同程度静脉炎,与对照组比较差异有统计学意义 (均P<0.05),化疗药物组间比较差异无统计学意义(P>0.05);化疗药物各组兔耳缘静脉均出现不同程度病理损伤,组间比较 差异无统计学意义(P>0.05)。结论 化疗药物的刺激性是化疗性静脉炎的重要因素,联合使用非顺序依赖性化疗药物时输注顺 序对静脉损伤的影响不大。

    Abstract:

    Objective To explore the effect of different intensities of irritant chemotherapy agents infused at varied sequences on venous injury, and to provide references for standardization of clinical medication. Methods The vesicant daunorubicin hydrochloride, and non-vesicant highly irritant cisplatin and non- vesicant weakly irritant cyclophosphamide were selected for venous infusion. A total of 24 ordinary healthy New Zealand rabbits were randomly divided into 8 groups,with 3 rabbits in each group: group A were given daunorubicin first and then cisplatin infusion, group B cisplatin and then daunorubicin, group C a single dose of daunorubicin, group D a single dose of cisplatin, group E cisplatin and then cyclophosphamide, group F cyclophosphamide and then cisplatin, group G single cyclophosphamide, and group H normal saline alone(the control group).The incidence rates and pathological changes of phlebitis in the ear-vein the rabbits were compared after 48 h. Results Varied degrees of phlebitis occurred in all the chemotherapy agents infusion groups, and had significant differences with the control group (P<0.05 for all). No significant differences in phlebitis degree were found among the chemotherapy agents infusion groups (P>0.05). There were different degrees of pathological damage in the ear-vein of rabbits among the chemotherapy agents infusion groups, though no significant differences were found among the groups (P>0.05). Conclusion The irritant property of chemotherapy drugs is an important risk factor of chemotherapeutic phlebitis, and the infusion sequence of two or more chemotherapy drugs had minimal effect on venous injury.

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项丽君,陈红涛,肖裕林,李琴,刘李信子,王婷婷.不同强度刺激性化疗药物输注顺序对静脉损伤的实验研究[J].护理学杂志,2019,34(15):41-44

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  • 收稿日期:2019-03-31
  • 最后修改日期:2019-05-15
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  • 在线发布日期: 2022-08-09