摘要
目的研究ICU患者中心静脉导管(CVC)相关血流感染的危险因素,寻找最佳有效干预,为CVC留置及相关治疗提供参考依据。方法选择2014年9月-2015年12月医院332例患者,共行中心静脉导管393例次进行研究,根据试验设计要求,随机选取了试验组203例次,对照组190例次,对比分析试验组和对照组CVC相关影响因素与导管相关血流感染(CRBSI)的关系,数据采用SPSS20.0统计软件进行分析。结果试验组与对照组CRBSI差异有统计学意义(P<0.05),进行两组logistics回归分析显示,导管留置天数、合并糖尿病、行气管切开为发生CRBSI的危险因素(P<0.05)。结论循证干预对降低CRBSI发生率有重要的意义;根据相关敏感因素进行有效干预,加强最大无菌技术要求及防护措施,对ICU患者治疗、经济和预防CRBSI具有重要意义。
OBJECTIVE To study the influencing factors of the central venous catheter-related bloodstream infections in ICU patients,so as to provide reference for indwelling catheter as well as the related treatment of CVC.METHODS A total of 393case-times of patients（332patients）with central venous catheter in hospital from Sep.2014 to Dec.2015 were collected.Totally 203case-times in experimental group and 190case-times in control group were randomly selected according to the requirements.The relationship between the CVC influencing factors and catheter related bloodstream infections（CRBSI）were analyzed by statistical software SPSS 20.0.RESULTS The experimental group and the control group CRBSI was significant（P〈0.05）.Logistic regression analysis showed days of catheter indwelling,diabetes mellitus,and tracheotomy were the risk factors for CRBSI.CONCLUSIONEvidence based intervention has obvious advantages and is important to reduce the risk of bloodstream infections.It is of great significance for treatment,economy and prevention of CRBSI in ICU patients to intervene the sensitive factors,strengthen the maximum aseptic technical requirements and protective measures.
作者
廖少玲
钟一岳
胡利人
吴家园
曾佩
梁耀
张晓春
周丽敏
LIAO Shao-ling ZHONG Yi-yue HU Li-ren WU Jia-yuan Zeng Pei LIANG Yao ZHANG Xiao-chun ZHOU Li-min(The Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524001, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第23期5430-5432,5476,共4页
Chinese Journal of Nosocomiology
基金
广东省湛江市财政资金科研专项备用经费项目(2014zk14010)
关键词
循证医学
中心静脉导管
导管相关性血流感染
危险因素
Evidence-based medicine
Central venous catheterization
Catheter-related blood stream infection
Risk factors
