CAJ | 학술논문

目的：探讨中心静脉置管相关性感染(置管感染)的高危因素并制订科学的防护措施。方法：回顾性分析22例置管感染的发病情况及其危险因素。结果：22例置管感染中，多数病例基础疾病严重且均有广谱抗生素长期应用史；股静脉、颈内静脉置管感染率高于锁骨下静脉；留管时间大于2周的置管感染率高于小于2周的(P＜0.05)。结论：机体抵抗力低下、广谱抗生素的应用、留管时间过长和置管部位不当是其高危因素，应针对其采取综合性防护措施。
목적：탐토중심정맥치관상관성감염(치관감염)적고위인소병제정과학적방호조시。방법：회고성분석22례치관감염적발병정황급기위험인소。결과：22례치관감염중，다수병례기출질병엄중차균유엄보항생소장기응용사；고정맥、경내정맥치관감염솔고우쇄골하정맥；류관시간대우2주적치관감염솔고우소우2주적(P＜0.05)。결론：궤체저항력저하、엄보항생소적응용、류관시간과장화치관부위불당시기고위인소，응침대기채취종합성방호조시。
Objective:To study the high risk factors(HRF) of central venous catheter associated infection (CAI) and take reasonable measures of nuirsing and prevention.Methods:Risk factors and incidence of 22 cases of CAI were reviewed.Results:Most of the 22 cases had severe basic diseases,but all of them had the history of long-term use of broaden spectrum antibiotics (BSA).There were higher frequency of CAI from internal jugular vien and femoral vein than that from subclavian vein.Incidence of CAI for catheter duration (CD) exceeding 2 weeks was higher than that for less 2 weeks.Conclusions:Immunosuppression,use of BSA,long trems of CD and unreasonable catheter site were the HRF;therefore,comprehensive nursing and prevention methods for CAI should be taken.