两种不同敷料对股静脉临时导管感染影响的疗效观察

Observation on the Influence of Two Different Wound Dressings on Femoral Vein Catheter Infection

目的观察纱布和敷贴两种敷料对血透患者股静脉临时导管感染的影响。方法以我院使用股静脉临时导管行血液透析的240例血透患者为研究对象,随机分成纱布组120例和敷贴组120例,比较两组置管后1周、2周、1个月及总导管感染的发生情况。结果置管后2周和1个月,纱布组导管感染发生率均显著高于敷贴组,差异均有统计学意义(P<0.05);两组总的感染发生率比较,纱布组(10%)显著高于敷贴组(3.33%),差异有统计学意义(P<0.05)。结论与纱布相比,使用敷贴作为血透患者股静脉临时导管换药的敷料可降低导管感染发生率。

Objective To know the influence of two different wound dressings on femoral vein catheter infection complicated with digestive tract hemorrhage （DTH）. Methods All of 240 patients maintenance hemodialysis （MHD） who used femoral vein catheter were randomly divided into gauze group and plaster group,compared the rate of femoral vein catheter infection after one week,two weeks and one month. Results The rates of femoral vein catheter infection in the gauze group were significantly higher than those in plaster group after two weeks and one month （P〈0.05）;The total rate femoral vein catheter infection in the gauze group was also significantly higher than that in plaster group（P〈0.05）. Conclusion The using of plaster could reduce the rate of femoral vein catheter infection compared with the gauze.