CAJ | 학술논문

目的：探讨新生儿经外周静脉置入中心静脉导管致导管相关性感染的危险因素及病原特点。方法对2012年5月-2014年2月入住新生儿重症监护病房，且行经外周静脉置入中心静脉导管的406例新生儿进行成组病例对照研究，发生导管相关性感染的新生儿为病例组，未发生导管相关性感染的新生儿为对照组，比较两组间母体因素、患儿因素、置管维护因素的差异。结果在新生儿经外周静脉置入中心静脉导管发生导管相关性感染的危险因素中，穿刺时间、穿刺次数、置管地点、有无发生堵管有统计学意义(P＜0.05)，母体因素、患儿因素无统计学意义(P＞0.05)。结论新生儿经外周静脉置入中心静脉导管中严格执行无菌操作、正确选择置管环境、控制穿刺时间和次数、规范导管维护、加强监测管理、收集分析资料是降低导管相关性感染发生的重要手段。
목적：탐토신생인경외주정맥치입중심정맥도관치도관상관성감염적위험인소급병원특점。방법대2012년5월-2014년2월입주신생인중증감호병방，차행경외주정맥치입중심정맥도관적406례신생인진행성조병례대조연구，발생도관상관성감염적신생인위병례조，미발생도관상관성감염적신생인위대조조，비교량조간모체인소、환인인소、치관유호인소적차이。결과재신생인경외주정맥치입중심정맥도관발생도관상관성감염적위험인소중，천자시간、천자차수、치관지점、유무발생도관유통계학의의(P＜0.05)，모체인소、환인인소무통계학의의(P＞0.05)。결론신생인경외주정맥치입중심정맥도관중엄격집행무균조작、정학선택치관배경、공제천자시간화차수、규범도관유호、가강감측관리、수집분석자료시강저도관상관성감염발생적중요수단。
Objective To investigate the risk factors and pathogenic characteristics of catheter-related infection of neonatal peripherally inserted central catheter. Methods 406 cases in neonatal intensive care unit were collected, who accepted peripherally inserted central catheter from May 2012 to February 2014. All the cases were divided into the catheter-related infection group and the no catheter-related infection group. The maternal factor, the newborn factor, and the catheter maintenance factor of the two groups were compared. Results In risk factors of catheter-related infection for neonatal peripherally inserted central catheter, the puncture time, the number of puncture, the catheter sites and with or without blockage have statistically significant(P<0.05), the maternal factor and the newborn factor have no statistically significance(P>0.05). Conclusion The important measures for reduce the incidencing of catheter-related infection in neonatal peripherally inserted central catheter, included stricting the aseptic, choosing the right environment, controlling the puncture time and frequency, standardizing the catheter maintenance, strengthening the monitoring and management, collecting and analyzing the data.