急性胰腺炎患者中心静脉导管相关血流感染的影响因素  

Influencing Factors of Central Venous Catheter-Associated Bloodstream Infection in Patients with Acute Pancreatitis

作　　者：王鑫[1] 崔嬿嬿 赵丽丽[1] 朱金霞[1] WANG Xin;CUI Yanyan;ZHAO Lili;ZHU Jinxia(Surgical Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Intensive Care Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院外科重症监护室,河南郑州450000 [2]郑州大学第一附属医院重症医学部,河南郑州450000

出　　处：《河南医学研究》2023年第14期2521-2524,共4页Henan Medical Research

摘　　要：目的探讨急性胰腺炎患者中心静脉导管相关性血流感染(CLABSI)的影响因素,并制定相应的预防措施。方法采取回顾性分析方法,选取2020年2月至2022年3月郑州大学第一附属医院重症监护室收治的行中心静脉置管的283例急性胰腺炎患者为研究对象。查阅病历系统,统计行中心静脉置管的急性胰腺炎患者发生CLABSI的相关资料,然后分析其影响因素。结果283例行中心静脉置管的急性胰腺炎患者,37例发生CLABSI,感染发生率为13.07%。多因素分析结果表明急性生理与慢性健康评分(APACHEⅡ)、年龄、置管部位、置管持续时间均为急性胰腺炎患者CLABSI发生的独立危险因素(P<0.05)。结论急性胰腺炎患者年龄大(≥60岁)、APACHEⅡ评分高(≥20分)、长期置管(≥7 d)、股静脉置管是导致中心静脉导管相关性血流感染发生的影响因素。临床工作中,应结合发生CLABSI的影响因素,在置管前对患者年龄、APACHEⅡ评分和病情进行详细判定,选择最佳的置管部位,控制导管留置时间等方法降低感染的发生率。Objective To investigate the influencing factors of central line associated blood stream infection(CLABSI)in patients with acute pancreatitis,and formulate corresponding preventive measures.Methods A retrospective analysis was conducted to select 283 patients with acute pancreatitis who received central venous catheterization in the Intensive Care Unit of the First Affiliated Hospital of Zhengzhou University from February 2020 to March 2022.The data related to the occurrence of CLABSI in acute pancreatitis patients with central venous catheterization were counted by referring to the case system.Then the influencing factors were analyzed.Results CLABSI occurred in 37 of 283 patients with acute pancreatitis with central venous catheterization,and the infection rate was 13.07%.Multivariate analysis showed that acute physiological and chronic health score(APACHEⅡ),age,catheterization site and catheterization duration were independent risk factors for CLABSI in acute pancreatitis(P<0.05).Conclusion The older the patients with acute pancreatitis(≥60 years old),the high APACHEⅡscore(≥20 points),femoral vein catheter and the long-term catheterization(≥7 days)are the influencing factors for the occurrence of central venous catheter-related bloodstream infection.In clinical work,it should be combined with the factors affecting the occurrence of CLABSI,the patient’s age,APACHEⅡscore and condition should be determined in detail before catheterization,the best catheterization site should be selected,the catheter indwelling time should be controlled and other methods should be used to reduce the incidence of infection.

关 键 词：导管相关性血流感染 中心静脉导管 急性胰腺炎 

分 类 号：R472[医药卫生—护理学]