摘要
目的:分析导致PICC置管患者相关性血流感染的危险因素,为临床开展血流感染预防提供可靠地相关资料。方法:362例外周静脉插管患者作为研究对象,采用单因素数据分析及Logistic多因素分析可能引起患者导管PICC置管后出现血流性感染的相关因素。结果:单因素数据分析结果显示:患者的年龄、置管时间、外周血象、穿刺次数、化疗的次数以及患者是否患有糖尿病等6种情况在有无血流感染的患者间差异有统计学意义(P<0.05);Logistic多因素回归分析结果显示:年龄、外周血象、化疗次数、穿刺次数、管置时间、糖尿病是PICC置管引起血液感染的危险因素。结论:本项研究认为导管PICC置管导致血流感染的独立危险因素是临床患者的年龄、化疗次数、外周血象、穿刺次数、置管时间和患者是否伴有糖尿病疾病,临床应加强以上因素的预防,从而降低导管PICC置管患者的相关性血流感染的发病率。
Objective：To analysis of the patients with PICC catheter-related bloodstream infection（CRBSI） risk factors, carry out clinical bloodstream infection prevention to provide reliable information.Methods：362 cases of peripheral venous catheter patients as research subjects, the use of single-factor data analysis and logistic multivariate analysis may be caused by the patient’s catheter PICC catheter blood stream infections.Results：Single-factor data analysis showed：there was significant difference between patients with or without bloodstream infection on age, time of catheter, peripheral blood, puncture frequency, the frequency of chemotherapy, and whether the patient suffers from diabetes （P〈0.05）; Logistic multivariate regression analysis showed that： age, peripheral blood, number of chemotherapy treatments, number of puncture, tube, diabetes were the PICC catheter risk factors for infection caused by blood.Conclusion：Study catheter PICC catheter were independent risk factors that lead to bloodstream infections is a clinical patient’s age, number of chemotherapy treatments, peripheral blood, the number of puncture, catheter time and patients with diabetes disease, clinical care to pay attention to strengthening the above aspects of prevention, thereby reducing the incidence of infection in the catheter PICC catheter-related bloodstream of patients.
出处
《中国医药导刊》
2014年第3期512-513,共2页
Chinese Journal of Medicinal Guide
