2%洗必泰护理血透双腔留置管的效果评价  

Evaluating the Effect of 2%Chlorhexidine of Preventing Hemodialysis Catheter Related Infection

作　　者：黄家莲[1] 黄雪芳[2] 黄金霞[1] 郭泽慧[1] 

机构地区：[1]广东药学院附属第一医院血透中心,广东广州510080 [2]佛山市第一人民医院血透中心,广东佛山528000

出　　处：《中国医药指南》2012年第14期56-57,共2页Guide of China Medicine

摘　　要：目的探讨应用2%洗必泰护理血透双腔留置管对预防导管相关性感染的临床效果。方法将160名使用双腔留置导管作为血管通路的患者随机分为两组,观察组80例,使用2%的洗必泰消毒液进行导管及伤口的护理,对照组80例,使用2%安尔碘进行导管及伤口的护理,观察1年,对两组患者导管相关性感染率及导管的使用寿命等进行评价。结果使用2%洗必泰消毒液护理组的导管相关感染率均低于对照组,P<0.01,两组间有显著差异。结论 2%洗必泰护理双腔血透留置导管,消毒效果好,伤口及导管洁净,无消毒液残留,对预防血透患者导管相关性感染优于含碘的消毒液,值得临床推广。Objective To explore the effect of preventing catheter related infection by applying 2% chlorhexidine care of hemodialysis patients with central intravascular catheter（CVC）. Methods 160 patients with central intravascular catheter as vascular access on hemodialysis were randomLy divided into two groups. The observational group were used 2% chlorhexidine for exit site dressing and catheter steriiizing on each hemodialysis session. While the control group were used 2% iodine for exit site dressing and catheter sterilizing on each hemodialysis session. Observation period was 12 months and to compare the incidence of catheter related infection in two group patients. Results The prevalence of catheter related infection rate in observational group is lower than in control group, P〈0.01, the difference is significant. Conclusion To apply 2% chlorhexidine for hemodialysis catheter exit site dressing and catheter sterilizing on each hemodialysis session, it can keep exit site cleaning and dry, 2% chlorhexidine can more efficacy than 2% iodine to prevent and reduce hemodialysis catheter related infection in hemodialysis patients with CVC catheter as vascular access.

关 键 词：洗必泰 血液透析 双腔留置管 护理 

分 类 号：R473.5[医药卫生—护理学]