新生儿脐静脉置管血流感染影响因素及护理对策分析  

Analysis of Infl uencing Factors and Nursing Countermeasures for Catheter-related Bloodstream Infections in Neonates with Umbilical Venous Catheterization

作　　者：李楚 Li Chu(Department of Neonatology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000)

机构地区：[1]徐州医科大学附属医院新生儿科,江苏徐州221000

出　　处：《科技与健康》2025年第2期101-104,共4页Technology and Health

摘　　要：探究新生儿脐静脉置管血流感染(CRBSI)的影响因素及护理对策。选择2020年1月—2024年3月徐州医科大学附属医院268例脐静脉置管患儿,根据是否发生CRBSI将患儿分为CRBSI组(n=22)和非CRBSI组(n=246)。采用多因素Logistic回归分析新生儿CRBSI的影响因素,并探究相关护理对策。结果显示,两组患儿性别、窒息史、喂养方式、抗生素使用、血红蛋白水平、总胆红素水平比较,无统计学差异(P>0.05);两组患儿胎龄、出生体质量、机械通气史、留置时间、穿刺次数、清蛋白水平比较,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,胎龄<32周、出生体质量<1500 g、留置时间≥7天、穿刺次数≥两次、清蛋白水平较低是脐静脉置管新生儿发生CRBSI的独立危险因素。研究发现,胎龄、出生体质量、留置时间、穿刺次数、清蛋白水平是脐静脉置管新生儿发生CRBSI的独立危险因素,临床需采取一系列针对性护理措施以降低感染发生率,提高脐静脉置管的安全性。This study aims to explore the influencing factors and nursing countermeasures for catheter-related bloodstream infections(CRBSI)in neonates with umbilical venous catheterization.A total of 268 neonates with umbilical venous catheterization in The Affiliated Hospital of Xuzhou Medical University from January 2020 to March 2024 were selected.The neonates were divided into a CRBSI group(n=22)and a non-CRBSI group(n=246)according to whether CRBSI occurred.Multivariate Logistic regression was used to analyze the influencing factors of neonatal CRBSI,and relevant nursing countermeasures were explored.The results showed that there were no significant differences in gender,asphyxia history,feeding method,antibiotic use,hemoglobin level,and total bilirubin level between the two groups of neonates(P>0.05).There were significant differences in gestational age,birth weight,mechanical ventilation history,indwelling time,number of punctures,and albumin level between the two groups of neonates(P<0.05).The results of multivariate Logistic regression analysis showed that a gestational age of less than 32 weeks,a birth weight of less than 1,500 g,an indwelling time of≥7 days,the number of punctures of≥2 times,and a low albumin level were independent risk factors for CRBSI in neonates with umbilical venous catheterization.The study found that gestational age,birth weight,indwelling time,number of punctures,and albumin level are independent risk factors for CRBSI in neonates with umbilical venous catheterization.Clinically,a series of targeted nursing measures need to be taken to reduce the incidence of infection and improve the safety of umbilical venous catheterization.

关 键 词：脐静脉置管 新生儿 血流感染 护理对策 

分 类 号：R722.1[医药卫生—儿科]