重症患者中心静脉导管相关血流感染护理对策分析

摘要

Objective To analyze the nursing countermeasures for bloodstream infection induced by central venous catheter in severe patients, to provide reference for the control of infections in severe patients. Methods Divided 116 cases of central venous catheter in several patients randomly into group A, group B, 58 cases in each group, group A was given routine nursing care, group B was implemented the optimal nursing, observed nursing effect of the two groups.Results Catheter related bloodstream infection rates of group A and group B were 13.8% and 3.45%, indwelling catheter time was (12.5±3.4)d and (16.5±4.3)d, differences were statistically significant(P<0.05).Conclusion Optimal nursing for severe patients with central venous catheter can reduce catheter-related bloodstream infection, prolong indwelling time and improve the prognosis.%目的：分析重症患者中心静脉导管相关血流感染护理对策,为重症患者感染防止提供参考。方法将116例留置中心静脉导管的重症患者随机分为A、B两组,各58例, A组实施常规护理, B组实施优化护理,观察两组护理效果。结果A、B两组导管相关血流感染率分别为13.8%及3.45%,留置导管时间分别为(12.5±3.4)d及(16.5±4.3)d,差异均有统计学意义(P<0.05)。结论对留置中心静脉导管的重症患者进行优化护理后可减少导管相关血流感染、延长置管时间、改善预后。