摘要
目的探讨SICU中心静脉导管相关性血行感染(CVC-RI)的危险因素及集束干预策略。方法对我院SICU 2008年1月～2010年12月收治的225例病人进行回顾性调查,收集相关临床资料进行统计分析。结果置管时间10～20天占CVC-RI 60.5%,股静脉置管占CVC-RI 33.3%,基础疾病中肺炎合并呼吸衰竭、多脏器衰竭对CVC-RI的影响更大。颈内静脉置管占CVC-RI 17.2%,锁骨下静脉置管占CVC-RI 12.8%,两者比较无显著差异(P>0.05)。股静脉置管CVC-RI发生率较颈内静脉置管和锁骨下静脉置管明显增加(P<0.05)。结论基础疾病、留置时间是中心静脉导管感染的高风险因子。
Objective To find out the related risk factors and prevention measures of central venous catheter-related infection in SICU. Methods 225 patients who recepted treatments in SICU between February 2008 and December 2010 were investigated and analyzed the clinical datas retrospectively. Result It was 10-20 indewlling days that 60. 5% patients got central venous catheter-related infection. There was 33. 3% central venous catheter-related infection patients who took cen- tral venous cathetens treatment from femoral vein. There was 17.2% central venous catheter-related infection patients who took central venous cathetens treatment from internal jugular central venus catherization. There was 12.8% central venous catheter-related infection patients who took central venous cathetens treatment from subclavian vein. There was no big different between subclavian vein creatment and internal jugular central venus catherization treatment. In basic dieases, respiratory infection and reapiration failure, multiple system organ failure have more influence on central venous catheter-related infection. Conclusion The risk factors of central venous catheter-related infection are related with a cumulative number of risk factors , the time of indewlling, basic dieases.
出处
《临床护理杂志》
2011年第5期13-16,共4页
Journal of Clinical Nursing
