锁骨下中心静脉导管固定方式与导管相关性感染的研究  

Correlation study of fixations methods of subclavian central venous catheterization and catheter-related infection

作　　者：王会英[1] 胡晶敏[1] 邓艳[1] 

机构地区：[1]天津医科大学附属肿瘤医院,天津300060

出　　处：《天津护理》2011年第6期316-318,共3页Tianjin Journal of Nursing

基　　金：科研基金资助课题(2010KZ82)

摘　　要：目的:探讨不同固定方式与导管相关性感染的关系。方法:将359例经锁骨下中心静脉置管的胃癌术后患者随机分为试验组和对照组,试验组181例采用导管固定装置固定,对照组178例采用常规双缝线固定,两组患者的置管方法、冲封管方法等导管维护方式相同,比较两组患者导管相关性感染的发生情况。结果:试验组穿刺处皮肤感染发生率低于对照组,感染发生时间晚于对照组(P<0.05)。两组导管相关性血流感染发生率差异无显著性(P>0.05)。结论:与缝线固定相比,思乐扣固定皮肤感染率较低,皮肤红肿出现时间较晚且红肿程度较轻,是一种无创性操作,值得在临床推广应用。Objective： To explore the relationship between different fixations and catheter-related infection（CRI）.Methods： 359 gastric cancer patients with subclavian central venous central venous catheter were divided them into two groups randomly： the experiment group（n=181） and the control group（n=178）.The stat lock was applied for fixation in the experiment group,the conventional suture was applied in the control group,and the imbedding method and the catheter maintenance method were the same.Then the incidence of CRI was compared between the two groups.Results： The incidence of local infections in experiment group were lower than that in control group,and the occurrence time of local infection in experiment group was later,but no statistical difference in the incidence of bloodstream infections between two groups.Conclusion： The incidence of local infection of stat lock is lower,and it is worth being spread in the clinical.

关 键 词：锁骨下中心静脉置管 导管相关性感染 固定方式 

分 类 号：R471[医药卫生—护理学]