PICC导管相关性感染的危险因素分析-论文.pdf

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1、全科护理2014年8月第12卷第24期(总第333期)·2213·PICC导管相关性感染的危险因素分析AnalysisonriskfactorsofPICOcatheterrelatedlnfections王玉WangYu(FifthHospitalofWuhanCityHubeiProvince，Hubei430050China)摘要：[目的]探讨经外周静脉置入中AbstractObjective：ToprobeintotheriskfactorsofPICCcatheter—re—心静脉导管(PICC)相关性感染的危险latedinfectionsandimprovetheclini

2、calmedica1security．Methods：Ato—因素，以利提高，1盏床医疗安全性。[方ta1of353PICCpatientswithcompletedatawerecollectedandtheywere法]纳入资料完整的PICC导管置入病dividedintoinfectiongroup(30cases)andnot—infectiongroup(323ca—人353例，以是否发生导管相关性感ses)accordingtowhethercatheter—relatedinfectionsoccurredornot．染为判断标准分为感染组3O例和非Singlefactor

3、analysiswasusedtoinvestigatedifferencesinriskfactorsof感染组323例。采用单因素分析两组间导管相关性感染的危险因素的差catheter—relatedinfections，andfurtherLogisticregressionanalysiswas异，并进一步通过Logistic回归分析影usedtoinvestigatetheindependentriskfactorofcatheter—relatedinfec—响导管相关性感染发生的独立危险因tions．Results：Twogroupsofsinglefactoranalys

4、isshowedthatpatients素。[结果]两组资料单因素分析表ininfectiongrouphadoldageandlongtubetime，theratioofdiabetes明，感染组年龄大、留置时间长、糖尿history，applicationhormone，puncture≥2ormoretimes，guidedbyultra—病史、应用激素、穿刺≥2次、超声引导soundandoperatorexperience<50timeswerehigherthanthatinnon—及操作人员经验<5O次比例均高于非infectiongroupandalldifferenc

5、eswerestatisticalsignificance(aIlP<0．05)．感染组，差异均有统计学意义(均P

6、时间、糖尿病史、应用激素、穿diabeteshistory，applicationofhormone，puncture≥2ormoretimes，op—刺≥2次及操作人员经验<5O次均高erators’experience<50timesininfectiongroupwerehigherthanthose于非感染组，差异均有统计学意义(均innon—infectiongroup(P

7、2ormoretimesand长、糖尿病史、应用激素、穿刺≥2次及operators’experience<50timesweretheindependentriskfactorsof操作人员经验<5O次是发生导管相关catheter—relatedinfections．感染的独立危险因素。关键词：经外周静脉置入中心静脉导KeywordsPeripherallyInsertedCentralCatheter，PICC；infecti