中心静脉置管应用不同敷贴局部细菌定植研究  

Study on bacterial colonization at central venous catheter insertion sites by using different adhesive stickers

作　　者：袁洁[1] 顾莺[1] 胡静[1] 王传清[1] 

机构地区：[1]复旦大学附属儿科医院心血管中心,上海201102

出　　处：《护理学杂志》2012年第15期1-3,共3页

基　　金：复旦大学附属儿科医院青年基金资助项目(QN-028)

摘　　要：目的探讨不同敷贴对儿科患者中心静脉置管局部皮肤细菌定植的影响,以寻求一种更有利于降低中心静脉导管相关性感染的敷贴。方法将61例留置中心静脉置管患儿随机分为透明敷贴组(22例)、含碘敷贴组(20例)和高通透敷贴组(19例),分别采用透明敷贴、含碘敷贴和高通透敷贴覆盖在穿刺点及周围皮肤,在观察期(7d)内使用同一种敷贴用于中心静脉维护。结果含碘敷贴组穿刺点细菌培养阳性率显著低于透明敷贴组和高通透敷贴组(均P<0.017);敷贴内面的细菌培养阳性率显著低于透明敷贴组(P<0.017);三组患儿未发生全身感染,观察期内各组局部感染率比较,差异无统计学意义(均P>0.05)。结论含碘敷贴在抑制中心静脉穿刺局部皮肤菌落生长方面的效果优于高通透敷贴及透明敷贴。Objective To explore the impact of different adhesive stickers on bacterial colonization at central venous catheter insertion sites in pediatric patients, and to find out a better dressing to reduce central venous catheter-related infection （CVGRI）. Methods Sixty-one children with central venous catheters were randomized into three groups. The insertion sites were covered with either transparent stickers （22 cases）, iodine dressings （20 cases）, or hyperpermeable stickers （19 cases）. Results The positive rate of bacteria culture at the insertion sites in the iodine group was significantly lower than the other two groups （P〈0. 017 for both）, and positive bacterial rate on inner dressings in the iodine group was significantly lower than that in the transparent group （P〈0. 017）. None of the three groups developed systemic infection, and there were no statistical differences in local infections among the three groups at observation time points （P〉0. 05 for all）. Conclusion Iodine dressings has better effects on reducing bacterial growth at central venous catheter insertion sites than transparent and hyperpermeable stickers.

关 键 词：中心静脉置管 敷贴 透明敷料 含碘敷料 高通透敷料 细菌定植 感染 

分 类 号：R471[医药卫生—护理学]