中心静脉导管改良消毒方式及置管部位对血液透析患者导管相关性感染发生率的影响

doi:10.3969/j.issn.1671-7171.2017.07.006

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Abstract 【Objective】 To investigate the application value of an improved disinfection method of central venous catheter on the prevention and reduction of catheter-related infections of hemodialysis patients. 【Methods】 A total of 200 cases of patients received central venous catheter and hemodialysis in our hospital from January 2016 to January 2017; they were selected as the research objects and were divided into the conventional disinfection method (Group A) and improved disinfection method (Group B) using the single blind method and random number table method, with 100 cases in each group. The catheter retention, the incidence of catheter-related infection (CRI), and the catheter local infection rate at different catheterization sites were compared between the two groups. 【Results】 The retention time of catheter in Group B was (32.96 ± 14.51) d and was significantly longer than that in Group A (25.38 ± 10.19) d. The catheter local infection rate in Group B was 6.00 % significantly lower than that of 17.00 % in Group A (P＜0.05). The incidence of CRI in Group A and Group B was 5.00% and 2.00%, respectively, and the difference was not statistically significant (P＞0.05). The infection rate of internal jugular vein and the rate of femoral vein in Group B were significantly lower than those in Group A (P＜0.05). 【Conclusion】 the improved disinfection method is conducive to prolonging the retention time of catheters and reducing the catheter local infection rate in hemodialysis patients, so it is suggested to be popularized and applied in clinical practice.

Key words： Renal Dialysis Catheters, Indwelling Catheterization, Central Venous/AE Infection/ET Disinfection

Received: 01 April 2017

PACS:

R459.52

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	GUO Hai-li

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GUO Hai-li. Effect of Central Venous Catheter Disinfection Methods and Catheterization on the Incidence of Catheter-related Infections of Hemodialysis Patients[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(7): 1264-1266.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.07.006 OR http://www.jcr.net.cn/EN/Y2017/V34/I7/1264

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