经胸前区腋静脉置管感染危险因素分析  

The risk factor of infections in intubation by anterior thoracic wall axillary venipunctrue

作　　者：郑立[1] 李义贤[1] 陈洁红[1] 

机构地区：[1]汕头大学医学院肿瘤医院,广东汕头515031

出　　处：《天津护理》2004年第2期63-64,共2页Tianjin Journal of Nursing

基　　金：200 3年度汕头市重点科技计划项目汕府科[2 0 0 3]119号

摘　　要：目的 :探讨经胸前区腋静脉穿刺置管患者导管相关性感染危险因素。方法 :对 70 7例经胸前区腋静脉穿刺置管患者进行调查 ,感染病例导管尖端及血液送细菌培养。结果 :发生导管相关性感染 5例 ,感染率为 0 .7% ,其中外科 6 5 0例患者 ,感染 1例 ,感染率 0 .15 % ,化疗科 5 7例患者 ,感染 4例 ,感染率 7.0 2 %。全组患者置管时间≥ 2 0d者共 6 1例 ,发生感染 4例 ,感染率 6 .5 6 %。结论 :经胸前区腋静脉穿刺置管患者导管相关性感染的主要危险因素为机体免疫功能低下、置管时间长和导管护理欠妥 ,对有高危因素的患者要加强监测和护理 。Objective: To study the risk factors of infections in Intubaiton by Anterior Thoracic Wall Axillary Venipuncture (IATAV).Methods: 707 patents with IATAV catheters were studied. Bacterial culture were performed at catheter's end and blood culture after removing the catheter in infection cases. Results: 5 caes had catheter-related infection and the infection rate 0.7%.1 case was infected in 650 surgical patients and the infection rate was 0.15%. 4 cases were infected in 57 chemotherapy patients and the infection rate was 7.02%. 4 cases were infected in 61 patients that the catheter in place longer than 20 days and the infection rate was 6.56%. Conclusions: The study showed that the main causative factors of catheter-related infection for IATAV were that of the paients' lower immunity, long placement of catheter as well as insufficient nursing care. So the patients with risk factors should be monitored and better cared in order to prevent severe catheter-related infections.

关 键 词：腋静脉 导管 感染 危险因素 

分 类 号：R472.9[医药卫生—护理学]