早产儿PICC穿刺部位敷料更换时间与感染关系探讨

Probe into relationships between dressing change time and infection in PICC puncture position in premature infants

[目的]探讨外周置入中心静脉导管(peripherally inserted central catheter,PICC)穿刺部位敷料更换时间与感染的关系。[方法]选择2008年1月—2010年9月60例PICC置管全程在新生儿监护病房(NICU)护理的早产儿,2008年1月—2009年5月置管30例患儿为3d更换敷料组,2009年6月—2010年9月置管30例患儿为7d更换敷料组,比较两组发生感染情况。[结果]3d更换敷料组和7d更换敷料组患儿PICC穿刺部位感染情况比较差异无统计学意义(P>0.05)。[结论]在密切评估早产儿PICC穿刺部位及全身情况的前提下,3d、7d更换1次敷料不影响穿刺部位感染率。

Objective： To probe into relationships between dressing change time and infection in peripherally inserted central catheter（PICC） puncture position in premature infants. Investigation of the relationships between time of change of dressing of the PICC puncture position and infection. Methods： A total of 60 premature infants who accepted PICC and nursing care in NICU from January in 2008 to September in 2010 were selected and divided into two groups. 30 premature infants who accepting PICC from January in 2008 to May in 2009 were changed dressing of the PICC puncture position every 3 days. Other 30 premature infants who accepting PICC from June in 2009 to September in 2010 were changed dressing of the PICC puncture position every 7 days. The infected conditions were compared between two groups. Results： There was no statistical significant difference in infected conditions of the PICC puncture position between these two groups （P 〉 0. 05）. Conclusion： Under the premise of close assessment in PICC puncture site and the general condition of preterm infants,replacement of dressing every 3 d and 7 d doesn＇t affect the rate of infection of the puncture site.