摘要
目的 :探讨应用锁骨下静脉置管化疗患者导管感染的相关因素。方法 :对适合锁骨下静脉穿刺置管肿瘤化疗患者 40 0例进行置管化疗 ,拔管后常规给以穿刺点、导管尖端细菌培养。同时 ,拟对 1 2个感染相关因素进行临床观察和单因素、多因素非条件logistic回归分析。结果 :发生导管性感染 36例 ,感染率 9.0 %。导管感染主要危险因素是留置天数、病情、合用激素与否和有无伴有糖尿病。结论 :锁骨下静脉穿刺置管化疗患者导管感染的高危险因素为留置天数、病情、合用激素与否和有无伴有糖尿病。因而 ,对有感染高危险因素存在的导管留置者要定期监测各项感染指标 。
Objective: To study catheters-related infection factors in tumor chemotherapy patients with percutaneous insertion of subclavian venous catheters. Methods: 400 cases with percutaneous insertion of subclavian venous catheters were studied. Bacterial cultures were performed in rule at inserted place and catheter′s end after removing the catheter,and 12 related factors were observed and analyzed with single and multiple logistic regression .Results: 36 cases were suffered from catheter-related infection and the infected rate was 9.0%.According to the regressive analysis, the main factors of catheter-related infection were the catheter placing time, severity of disease, hormone applying and associated diabetes. Conclusions: The study shows that the high risk factors of patients with percutaneous insertion of subclavian venous catheters in tumor chemotherapy are the catheter placing time, severity of disease, hormone applying and associated diabetes. Patients of percutaneous insertion of subclavian venous catheters with high risk factors would be monitored in order to prevent the severe cathertrs-related infection.
出处
《中华护理杂志》
CSCD
北大核心
2002年第9期645-647,共3页
Chinese Journal of Nursing
基金
广西卫生厅科研项目 (合同号Z2 0 0 0 59)
