脑肿瘤术后患者植入输液港相关感染危险因素分析  

Analysis of the Risk Factors for Totally Implantable Access Port Related Infection in Patients with Brain Tumor after Operation

作　　者：熊丽娇[1] 范新娟[2] Xiong Lijiao;Fan Xinjuan(Department of Neurosurgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University&Institute of Neurology,China Three Gorges University,Yichang 443003,China;Department of Ophthalmology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]神经外科&三峡大学神经病学研究所,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]眼科,湖北宜昌443003

出　　处：《巴楚医学》2020年第4期34-38,共5页Bachu Medical Journal

摘　　要：目的:探讨脑肿瘤术后接受放化疗患者发生完全植入式输液港(TIAP)相关感染的危险因素。方法:纳入2017年10月~2019年11月期间脑肿瘤术后接受TIAP植入的患者,对患者一般临床资料、TIAP相关操作指标、输液港及外周血细菌培养结果进行分析。结果:255例脑肿瘤术后患者植入TIAP,24例发生TIAP相关性感染者。与非感染组相比,感染组年龄大,合并糖尿病、其他部位感染、发生上肢静脉血栓以及门诊随访的比例更高(均P<0.05)。而性别、合并高血压、体质量指数、预防性使用抗生素、植入部位、手术场所、导管直径等,两组间无明显统计学差异(均P>0.05)。结论:患者高龄、合并糖尿病、发生上肢静脉血栓、门诊维护及管理是TIAP相关性感染发生的重要危险因素。Objective:To analyze the risk factors of totally implantable access port(TIAP)related infection in patients with brain tumor undergoing radiotherapy and chemotherapy after surgery.Methods:Patients underwent brain tumor surgery and TIAP implantation from October 2017 to November 2019 were included.The general clinical data,TIAP-related operating factors,bacterial cultures of infusion ports and peripheral blood were analyzed.Results:There were 255 patients enrolled,with 24 cases of TIAP associated infection.Compared to the non-infection group,patients in the infection group were older,had higher rates of diabetes mellitus,other site infection,upper limb venous thrombosis and long-term outpatient follow-up(all P<0.05).However,there were no statistically significant differences in gender,hypertension,body mass index,preventive use of antibiotics,implantation site,surgical site and catheter diameter between the two groups(all P>0.05).Conclusion:The elderly,combined with diabetes mellitus,upper extremity venous thrombosis,and outpatient management are important risk factors for TIAP related infection.

关 键 词：完全植入式输液港 脑肿瘤 感染 

分 类 号：R473[医药卫生—护理学]