肿瘤化疗患者PICC导管相关性感染发生现状及高危因素调查研究

摘要

Objective:To investigate and study of incidence and risk factors of PICC catheter-related infections in cancer patients undergoing chemotherapy.Methods:A total of 175 tumor chemotherapy PICC catheter patients in our hospital from June 2015 to May 2017 were selected as the research object.The PICC catheter related infection rate statistics were collected and the PICC catheter related infection rates were compared in terms of gender,age,location of catheterization,time of catheterization and incidence of complicated underlying diseases,at the same time,the relationship between study factors and PICC catheter-related infections was handled with Logistic regression analysis.Results:A total of 16 PICC catheter-related infections occurred among 175 tumor chemotherapy PICC catheter patients,and the incidence of infection was 9.14％.The difference in the incidence of PICC catheter-related infections in patients of different genders was not statistically significant(P ＞ 0.05),while the differences in the incidence of PICC catheter-related infections in patients at different ages and with different location of catheterization,time of catheterization and incidence of complicated underlying diseases were statistically significant (P ＜ 0.05).Logistic regression analysis showed that age,location of catheterization,time of catheterization and incidence of complicated underlying diseases were risk factors for PICC catheter-related infections.Conclusion:Incidence of PICC catheter-related infections in cancer patients undergoing chemotherapy is high,age,location of catheterization,time of catheterization and incidence of complicated underlying diseases are risk factors.Interventions should be carried out according to the above risk factors.%目的:调查研究肿瘤化疗患者PICC导管相关性感染发生现状及高危因素.方法:选取2015年6月～2017年5月我院的175例肿瘤化疗PICC置管患者为研究对象,将其中PICC导管相关感染发生率进行统计,并比较不同性别、年龄、置管位置、置管时间及是否并发基础疾病情况的PICC导管相关感染发生率,同时采用Logistic回归分析处理研究因素与PICC导管相关感染的关系.结果:175例肿瘤化疗PICC置管患者中共发生16例PICC导管相关感染,感染发生率为9.14％.不同性别患者的PICC导管相关感染发生率经比较无统计学意义(P＞0.05),而不同年龄、置管位置、置管时间及并发基础疾病情况的PICC导管相关感染发生率经比较有统计学意义(p＜0.05).Logistic回归分析显示,年龄、置管位置、置管时间及并发基础疾病均是PICC导管相关感染发生的危险因素.结论:肿瘤化疗患者PICC导管相关性感染发生率较高,年龄、置管位置、置管时间及并发基础疾病均是其危险因素,应根据上述危险因素进行干预.