集束化干预措施降低ICU中心静脉导管使用率和感染率的临床分析  

The experience of reducing the use rate and infection rate of ICU central venous catheter by cluster intervention

作　　者：郭志强[1] 戴坤鹏 王滨[1] 孔继昌[1] 于广艳[1] 李双成[2] 

机构地区：[1]华北石油管理局总医院重症医学科,河北任丘062552 [2]河北医科大学基础医学院解剖学教研室,河北石家庄050017

出　　处：《河北医科大学学报》2016年第6期652-654,共3页Journal of Hebei Medical University

摘　　要：目的探讨集束化干预措施对重症医学科中心静脉导管使用率和中心静脉导管感染率的影响。方法2011年1—12月基线阶段进行中心静脉导管目标监测,2012年1月—2014年12月干预阶段实施中心静脉导管的集束化干预措施并行目标监测,比较干预前后中心静脉导管使用率和中心静脉导管感染率。结果实施集束化干预措施后中心静脉导管使用率从73.0%下降至58.8%(P<0.01),中心静脉导管感染率从4.86%下降至1.84%(P<0.05)。结论集束化干预措施能降低重症医学科中心静脉导管使用率和感染率。Objective To determine whether implementation of the central line bundle（CLB）would reduce the usage rate and the infection rate of central venous catheters（CVCs）.MethodsDuring baseline phase（from January 2011 to December 2011）,active surveillance of CLABSIs was conducted.The intervention of the central venous catheter in the intervention phase（from January 2012 to December 2014）was measured and the implementation of target was monitored.The rate of central venous catheter and the infection rate of central venous catheter before and after the intervention were compared.Results After implementation of the CLB,the usage rate of central venous catheter was reduced from 73.0%to 58.8%（P〈0.01）.Central venous catheter infection rate was decreased from 4.86% to 1.84%（P〈0.05）.Conclusion The utilization rate and infection rate of central venous catheter in intensive care unit were reduced by cluster intervention.

关 键 词：导管插入术 中心静脉 干预化研究 治疗结果 

分 类 号：R540.46[医药卫生—心血管疾病]