摘要
目的比较两种中心静脉导管固定方法的效果,为临床应用提供参考。方法将60例中心静脉置管患者随机分成缝合固定组和贴膜固定组各30例,比较两组导管固定时间、导管脱出率、导管相关性血流感染(CRBSI)发生率。结果贴膜固定组导管固定时间显著短于缝合固定组(P<0.01),两组导管脱出和CRBSI发生率比较,差异无统计学意义(均P>0.05),贴膜固定组导管脱出率相对高于缝合固定组,CRBSI发生率相对低于缝合固定组。结论贴膜固定法既可节省操作时间,又可减少CRBSI的发生,适用于急诊患者留置中心静脉导管后的固定,但在贴膜固定期间应注意防范导管脱出。
Objective To compare the effect of suturing vs slit plasters for securing central venous catheters and to provide a reference for clinical nurses. Methods Central lines of sixty emergency patients were secured using either standard suture material （the suture group, 30 cases ） or slit plasters （the plaster group,30 cases）. The time to secure a catheter, the rates of catheter dislodge and catheter-related blood stream infection （CRBSI） between the 2 groups were compared. Results The time to secure a catheter is sig- nificantly shorter in the plaster group than in the suture group （P〈0. 01） ;there were no significant differences in the rates of ca- theter dislodge and CRBSI between the 2 groups （P〉0.05 for both）. The rate of catheter dislodge in the plaster group was higher, and rate of CRBSI was lower, than in the suture group. Conclusion Slit plasters could be used to time-efficiently secure central venous catheters,and decrease the occurance of CRBSI,which suits emergency patient. However, patients should be closely observed for prevention of catheter dislodge after application of this method.
关键词
中心静脉置管
缝合固定
贴膜固定
导管脱出
导管相关性血流感染
central venous catheterization
securement with suturing
securement with plaster
catheter dislodge
catheter- related blood stream infection
