临床安全药物治疗:应用微输注一次性机械系统治疗造血组织及实体肿瘤恶性疾病的体会

Yu. E. Ryabukhina, P. A. Zeynalova, V. E. Gruzdev, M. A. Anisimov, A. Fedenko, O. L. Timofeeva, F. М. Abbasbeyli, D. A. Chekin, A. G. Zhukov
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摘要

近年来,由于恶性肿瘤的药物治疗取得了显著的成功,患者的生活质量问题变得更加重要。周期性药物治疗意味着静脉输注抗肿瘤药物。与这种治疗相关的并发症包括静脉炎和外渗,在某些情况下,导致血管腔完全闭塞和大面积皮肤和皮下坏死。随着时间的推移,多次静脉穿刺会导致进入静脉的重大技术困难,并限制治疗的继续。这推动了在门诊和住院抗肿瘤药物治疗中寻找合理的患者安全方法的必要性。为了解决这一问题,全植入静脉口系统被开发并应用于临床实践,该系统提供无菌连续静脉通路的组织,以及输液泵(用于独立的长时间静脉治疗)。这些设备的使用允许治疗过程的连续性和循环,通过不限制日常活动显着提高患者的生活质量。在本文中,我们介绍了我们使用微输注一次性机械系统抗肿瘤药物治疗和缓解造血组织和实体肿瘤恶性疾病患者强烈疼痛综合征的经验。
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Safe drug therapy in clinical practice: experience of using microinfusion single-use mechanical systems in treatment of patients with malignant diseases of hematopoietic tissue and solid tumors
Recently due to significant successes in drug therapy of malignant tumors, the question of quality of life of patients has become more important. Cyclical drug treatment implies intravenous infusion of antitumor agents. Complications associated with this type of therapy include phlebitis and extravasation and, in some cases, lead to full obliteration of vessel lumen and vast skin and hypoderm necrosis. Multiple venous punctions can with time lead to significant technical difficulties in accessing the vein and limit the continuation of therapy. This drives the necessity to search for rational approaches to patient safety during both outpatient and inpatient antitumor drug treatment. To solve this problem, fully implanted venous port systems were developed and implemented in clinical practice which provide organization of aseptic continuous venous access, as well as infusion pumps (for independent prolonged intravenous therapy). Use of these devices allows for continuity and cycling of treatment process, significantly improves patients' quality of life by not limiting daily activities.In the article we present our experience of using microinfusion single-use mechanical systems for antitumor drug therapy and relief of intense pain syndrome in patients with malignant disorders of hematopoietic tissue and solid tumors.
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