中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
6期
368-370
,共3页
锁骨下静脉置管%中心静脉导管相关性感染%导管相关性血流感染%换药%消毒%医院感染
鎖骨下靜脈置管%中心靜脈導管相關性感染%導管相關性血流感染%換藥%消毒%醫院感染
쇄골하정맥치관%중심정맥도관상관성감염%도관상관성혈류감염%환약%소독%의원감염
Kex words] subclavian vein catheterization%central venous catheter-related infection%catheter-related blood-stream infection%dressing change%disinfection%healthcare-associated infection
目的：探讨改良锁骨下静脉置管敷料更换时清洁消毒的方法（简称换药方法），对预防相关感染的效果。方法选择2012年1-6月某院重症监护室行右锁骨下静脉置管的患者120例，按置管日期分为对照组（单日）和实验组（双日）各60例。对照组采用传统的换药方法：2％碘酊消毒穿刺点及周围皮肤一遍，75％乙醇脱碘一遍；实验组采用改良换药方法：先用生理盐水擦拭穿刺点及周围皮肤3遍，清洁导管，再避开穿刺点用75％乙醇消毒周围皮肤3遍，用0．5％碘伏消毒穿刺点及周围皮肤3遍，最后消毒导管。对比两组相关感染率。结果实验组局部感染率为5．00％，导管相关性血流感染（CRBSI）率为1．67％，均显著低于对照组（分别为16．67％和13．33％），差异均有统计学意义（均P＜0．05）。结论改良换药方法比传统换药方法效果好，能有效预防局部感染与CRBSI的发生。
目的：探討改良鎖骨下靜脈置管敷料更換時清潔消毒的方法（簡稱換藥方法），對預防相關感染的效果。方法選擇2012年1-6月某院重癥鑑護室行右鎖骨下靜脈置管的患者120例，按置管日期分為對照組（單日）和實驗組（雙日）各60例。對照組採用傳統的換藥方法：2％碘酊消毒穿刺點及週圍皮膚一遍，75％乙醇脫碘一遍；實驗組採用改良換藥方法：先用生理鹽水抆拭穿刺點及週圍皮膚3遍，清潔導管，再避開穿刺點用75％乙醇消毒週圍皮膚3遍，用0．5％碘伏消毒穿刺點及週圍皮膚3遍，最後消毒導管。對比兩組相關感染率。結果實驗組跼部感染率為5．00％，導管相關性血流感染（CRBSI）率為1．67％，均顯著低于對照組（分彆為16．67％和13．33％），差異均有統計學意義（均P＜0．05）。結論改良換藥方法比傳統換藥方法效果好，能有效預防跼部感染與CRBSI的髮生。
목적：탐토개량쇄골하정맥치관부료경환시청길소독적방법（간칭환약방법），대예방상관감염적효과。방법선택2012년1-6월모원중증감호실행우쇄골하정맥치관적환자120례，안치관일기분위대조조（단일）화실험조（쌍일）각60례。대조조채용전통적환약방법：2％전정소독천자점급주위피부일편，75％을순탈전일편；실험조채용개량환약방법：선용생리염수찰식천자점급주위피부3편，청길도관，재피개천자점용75％을순소독주위피부3편，용0．5％전복소독천자점급주위피부3편，최후소독도관。대비량조상관감염솔。결과실험조국부감염솔위5．00％，도관상관성혈류감염（CRBSI）솔위1．67％，균현저저우대조조（분별위16．67％화13．33％），차이균유통계학의의（균P＜0．05）。결론개량환약방법비전통환약방법효과호，능유효예방국부감염여CRBSI적발생。
Objective To evaluate the effect of improved cleaning and disinfection method for subclavian venipunc-ture dressing change to prevent catheter-associated infection. Methods 120 hospitalized patients with right subcla-vian venipuncture at an intensive care unit in January-June 2012 were divided into control group (n= 60)and experi-mental group(n= 60)according to venipuncture date. Control group adopted conventional dressing change :disin-fected skin at and around puncture point by 2% iodine tincture,then used 75% alcohol for deiodination;experimen-tal group adopted improved dressing change :Wiped skin at and around puncture point three times by normal saline, cleaned catheter,disinfected skin around puncture point (avoid puncture point)three times by 75% alcohol,disin-fected skin at and around puncture point three times by 0 .5% iodine tincture ,then disinfected catheter . Associated infection rate between two groups were compared . Results Focal infection rate and CRBI rate of experimental group were both lower than control group(5.00% vs 16.67% ;1.67% vs 13.33% ),the difference was statistically different (P< 0.05 ). Conclusion Effect of improved dressing method is better than the conventional dressing method,it can effectively prevent occurrence of focal infection and CRBI.
