三种中心静脉置管导管相关性感染的对比研究  

Contrast study of catheter-related infections in intubation by central vein puncture by three methods

作　　者：郑立[1] 李义贤[1] 洪瑞乔[1] 林志强[1] 侯春燕[1] 

机构地区：[1]汕头大学医学院肿瘤医院感染管理科,广东汕头515031

出　　处：《护士进修杂志》2006年第9期783-785,共3页Journal of Nurses Training

基　　金：1:2003年汕头市重点科技计划项目(汕府科[2003]199号);2:2005年汕头市重点科技计划项目(汕府科[2005]116号)

摘　　要：目的探讨一针皮下隧道锁骨下静脉置管、经胸前区腋静脉置管和锁骨下静脉置管病人导管相关性感染情况。方法A组105例采用传统锁骨下静脉置管,B组1 000例采用经胸前区腋静脉置管,C组600例采用一针皮下隧道锁骨下静脉置管。B、C组均取穿刺点于锁骨下方胸前区外侧,置管期间加强感染监测和护理,感染病例导管尖端及血液送细菌培养。结果A组发生导管相关性感染4例,感染率为3.81%,B组发生导管相关性感染7例,感染率为0.70%,C组未发生导管相关性感染,差异有极显著性意义(χ2=20.345,P<0.001)。结论一针皮下隧道锁骨下静脉置管和经胸前区腋静脉穿刺置管是创新的中心静脉穿刺技术,对预防导管相关性感染有重要意义。Objective To study the catheter-related infections（CRl）in intubation by subcutaneous tunnel for once puncture（STOP）and anterior thoracic-wall axillary vein-puncture（ATAV）and subclavian vein. Methods 105 patients with subclavian vein as A group, 1000 patients with ATAV as B group, and 600 patients with STOP as C group were studied. Strengthen monitoring and nursing. Bacterial culture was performed with catheter＇s end and blood culture after removing the catheter in infection cases. Results 4 caes in A group had CRI and the infection rate was 3.81 %. In B group,7 cases had CRI and the infection rate was 0.70%. In C group,had not CRL There were significant difference（X^2 = 20. 345, P〈0. 001）. Conclusions Intubation by STOP and ATAV are important to prevent the CRI.

关 键 词：皮下隧道 腋静脉 锁骨下静脉 导管相关性感染 

分 类 号：R472[医药卫生—护理学]