摘要
目的评价抗感染中心静脉导管在预防导管相关性血流感染（CRBSI）中的临床价值。方法采用随机数字法，将850例肿瘤患者随机分为实验组420例（采用抗感染中心静脉导管）和对照组430例（采用普通中心静脉导管），比较两组CRBSI发生率，分析导管相关性血流感染病原菌的种类与特点。结果发生CRBS166例，其中实验组25例，对照组41例，两组导管留置7d前CRBSI感染牢差异无统计学意义（χ2=0．06，P〉0．05），7d后实验组CRBSI感染率较对照组低，差异有统计学意义（χ2分别为3．91，4．30，P〈0．05）。实验组减少导管相关性血流感染的病原体主要为革兰阳性菌。结论抗感染中心静脉导管可明显减少导管相关性血流感染的发生，有很大的临床价值。
Objective To evaluate the clinical effect in prevention of catheter-related bloodstream infec, tion（CRBSI） using antiseptic impregnated central venous catheter. Methods The incidence of catheterrelated bloodstream infection was compared between 420 cases performed with antiseptic impregnated central venous catheter （experimental group ） and 430 cases performed with general central venous catheter （control）. Besides, the categories and characteristics of pathogenic bacteria which resulted in catheter-related bloodstream infection were analyzed. Results There were 66 cases of CRBSI in 850 cases, 25 cases were inserted antiseptic impregnated central venous catheter and 41 cases inserted general central venous catheter. No significant difference in the incidence between the two groups was found during 7 days （χ2 =0.06 ,P 〉 0. 05 ）, however, the incidence of CRBSI was lower in the experimental group than of the control group after 7 days（χ2 = 3.91,4.30 ;P 〈 0. 05 ）. It is Gram-positive bacteria which contributed chiefly to CRBSI in experimental group. Conclusions Antiseptic impregnated central venous catheter has clinical effect and could reduce CRBSI obviously.
出处
《中华现代护理杂志》
2011年第13期1526-1528,共3页
Chinese Journal of Modern Nursing
