改良穿刺法预防肿瘤患者PICC置管后导管相关性血流感染的效果  

The effect of improved puncture in preventing PICC catheter related bloodstream infection for tumor patients

作　　者：刘艳华[1] 林兰珍[1] 曾慧美[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《齐齐哈尔医学院学报》2015年第35期5452-5453,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨改良穿刺方法对预防肿瘤患者PICC置管后发生导管相关性血流感染发生(CRBSI)的效果。方法对符合条件的93例肿瘤患者随机分干预组(48例)和对照组(45例),对照组行常规置管与护理,观察组行改良穿刺方法,置管后对两组患者进行监测,比较两组患者PICC置管后CRBSI发生率。结果对照组CRBSI感染率15.5%,观察组CRBSI感染率为2.0%,经χ2检验,差异有统计学意义P<0.01。结论改良穿刺方法可明显减少肿瘤患者PICC置管后CRBSI的发生率。Objective To explore the effect of improved puncture in preventing PICC catheter related bloodstream infection（ CRBSI） for tumor patients. Methods 93 cases those who were conform to requirement were randomly divided into the experimental group（ 48 cases） and control group（ 45 cases）. The patients in control group were applied with conventional catheter and nursing care,the patients in experimental group were applied with improved puncture. After tube placement,monitoring and comparing the occurrence rate of CRBSI of the two groups. Results The CRBSI infection rate of control group was 15. 5% and the CRBSI infection rate of experimental group was 2. 0%,the difference was statistically significant（ P〈0. 01）. Conclusions The improved puncture can obviously reduce the CRBSI occurrence rate of tumor patients with PICC catheter.

关 键 词：肿瘤 PICC导管 相关性血流感染 

分 类 号：R472.9[医药卫生—护理学]