肿瘤患者PICC相关感染因素分析及护理对策  

Analysis of PICC Related Infection Factors in Cancer Patients and Nursing Countermeasures

作　　者：孙丽华[1] 孙萍[1] 肖璐璐 

机构地区：[1]福建医科大学附属第一医院外科,福建福州350005

出　　处：《中外医疗》2016年第34期165-167,共3页China & Foreign Medical Treatment

摘　　要：目的分析肿瘤患者PICC相关感染因素,探讨护理对策。方法整群选择该院2014年5月—2016年5月收治的行PICC置管的肿瘤患者133例,观察置管期间PICC相关感染发生发生情况,以发生PICC相关感染患者为感染组,与未感染组患者的相关因素对比,分析影响因素,针对影响因素制定护理对策。结果 133例患者中,发生PICC相关感染12例,发生率9.0%。静脉炎3例,占2.25%,菌血症1例,占0.75%。经比较,感染组输入TPN液体者相关感染率58.3%、留置时间≥60 d者相关感染率66.7%,均高于非感染组,差异具有统计学意义(P<0.05),属于影响因素。结论输入液体类型、PICC管道留置时间为肿瘤患者PICC感染发生的相关因素,应在置管期间加强护理,减少感染。Objective To analyse the tumor patients with PICC related infection factors, to explore the nursing countermeasures. Methods Group selection our hospital from May 2014 to May 2016 in the tumor, 133 cases of patients with PICC line, observe the PICC catheter during and the related infections occurred in PICC related infections patients for infection group, compared with the related factors of patients with uninfected group, analysis of influencing factors, the factors influencing on nursing countermeasures. Results 133 cases of patients, 12 cases occurred usm related infections, the incidence of 9.0%. Phlebitis in 3 cases, accounting for 2.25%, bacteremia in 1 case, accounting for 0.75%. By comparing, the infection group input TPN liquid was 58.3%, the indwelling time, rate 60 d or higher rate of 66.7% than the infection group, the difference statistically significant（P 0.05）, belongs to the influencing factors. Conclusion Input liquid type, PICC tube indwelling time for cancer patients with PICC infection related factors, should be strengthened during catheter nursing, reduce infection.

关 键 词：肿瘤 PICC 感染 护理 

分 类 号：R47[医药卫生—护理学]