摘要
目的探讨肝癌术后患者颈内静脉导管的感染因素,以减少颈内静脉导管感染发生率。方法回顾性分析2011年6月-2013年6月214例肝癌手术后留置颈内静脉导管患者临床资料,对39例发生颈内静脉导管感染患者的临床资料进行分析,探讨感染发生相关因素,数据采用SAS 14.0软件进行统计分析。结果 214例肝癌手术患者中39例术后发生颈内静脉导管感染,感染率18.22%;术后颈内静脉导管感染的发生与插管时无菌操作、化疗周期、伤口换药时间和更换肝素帽时间有关,差异有统计学意义(P<0.05);共培养出病原菌44株,其中鲍氏不动杆菌、铜绿假单胞菌、金黄色葡萄球菌的检出率,分别占27.27%、22.73%、20.45%。结论影响肝癌术后颈内静脉导管的感染因素较多,感染病原菌以鲍氏不动杆菌、铜绿假单胞菌、金黄色葡萄球菌为主,术后给予严格无菌操作和精细护理,对减少颈内静脉导管感染发生具有重要意义。
OBJECTIVE To investigate factors for postoperative jugular vein catheter infections in patients with liver cancer so as to reduce the incidence of jugular vein catheter infections.METHODS A retrospective analysis of clinical data of 214 patients with indwelling jugular vein catheter after surgery for liver cancer in our hospital during Jun.2011 to Jun.2013 was conducted.The clinical data of 39 patients who had jugular vein catheter infections were analyzed to explore factors related to the infections.Data were statistically analyzed by SAS 14.0software.RESULTS Totally 39 out of 214 patients had jugular vein catheter infections（18.22%）.Jugular vein catheter infection was related to aseptic operation during catheterization,chemotherapy cycle,wound dressing time and replacement time of heparin cap,the difference was significant（P〈0.05）.Totally 44 pathogens were cultured,including Acinetobacter baumannii,Pseudomonas aeruginosa,Staphylococcus aureus,accounting for27.27%,22.73%,20.45%,respectively.CONCLUSIONS Postoperative jugular vein catheter infection is related to many factors,infectious pathogens mainly include A.baumannii,P.aeruginosa,and S.aureus,and strict aseptic operation and careful nursing after surgery have great importance to reduce jugular vein catheter infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第19期4836-4837,4878,共3页
Chinese Journal of Nosocomiology
基金
南阳市科技发展计划基金资助项目(2012GG088)
关键词
肝癌术后
颈内静脉导管
感染
护理
After surgery for liver cancer
Jugular vein catheter
Infection
Nursing
