260例胃肠患者术后颈内静脉留置针预防感染的护理管理

Research on nursing interventions for prevention of infections arising from internal jugular catheter in 260 patients after gastrointestinal operation

目的探讨260例胃肠术后颈内静脉留置针预防感染的相关措施,预防颈内静脉留置针的并发症发生。方法对260例胃肠术后颈内静脉留置针维护方法、时间、及时更换敷料、保持穿刺部位皮肤干燥等预防感染的措施进行相关研究。结果 260例患者颈内静脉输液,无一例发生感染;有22例占8.5%患者静脉穿刺针局部皮肤处发红,原因均是由于夏季患者出汗刺激穿刺点皮肤所致。结论胃肠术后颈内静脉穿刺留置时间长,患者术后因卧床活动不便,洗漱颈部出汗等容易浸湿敷料,造成留置针局部贴膜卷曲,针眼外露,引起感染;严格无菌操作,及时更换敷料,保持颈内静脉留置针局部干燥等可预防感染的发生。

OBJECTIVE To explore the related measures of the infection prevention arising from internal jugular catheter in 260 patients after gastrointestinal operation and prevent the complications of internal jugular indwellily catheter.METHODS The research was carried on about the maintenance methods,time and the infection prevention of internal jugular catheter in 260 patients after gastrointestinal operation,such as the changing dressing in time and keeping the puncture skin dry.RESULTS There was no case of infections that occurred in 260 patients undergoing the internal jugular vein infusion,there were 22（8.5%） cases of patients with the puncture site turning red,which were all caused by the sweating stimulatily the multiple puncture sites.CONCLUSION For a large requirement of fluid infusion after gastrointestinal operation,the internal jugular catheter should be indwelling for a long time.For the activities inconvenience in bed after surgery,dressings are easy to get wet when washing and sweating,which will make the foil curly,puncture point exposed,and cause infection.The strict aseptic operation,changing dressing in time,and keeping the puncture skin dry can prevent the incidence of the infections.