酒精纱布在中心静脉导管相关局部感染中的应用

Application of alcohol gauze in related local infection of central venous catheter

目的探讨酒精纱布在中心静脉导管相关局部感染中的应用效果。方法选取中心静脉导管相关局部感染的患者,将其随机列入试验组与对照组,试验组采用酒精纱布+聚亚氨酯膜覆盖穿刺点,对照组采用无菌干纱布+聚亚氨酯膜覆盖穿刺点,对两组结果进行比较,并进行统计学分析。结果试验组经过3、6、9d换药后红肿消退率分别为17.86%、42.86%、71.43%,对照组3、6、9d换药后红肿消退率分别为7.14%、14.29%、14.29%,试验组均明显高于对照组,差异有统计学意义(P<0.05)。结论酒精纱布能够有效地预防中心静脉导管相关局部感染的进一步扩散,同时能够治疗中心静脉穿刺点的局部感染。

Objective To explore the application effect of alcohol gauze in related local infection of central venous catheter.Methods The patients with related local infection of central venous catheter were chosen and randomly divided into experiment group and control group,the experiment group was given the alcohol gauze and poly-urethane membrane cover puncture point,the control group was given the sterile dry gauze and poly-urethane membrane cover puncture points,the results of two groups were compared and statistical analyzed.Results The faded ratea of the experiment group after changing over the drug for 3,6,and 9 days were 17.86%,42.86% and 71.43% respectively,the faded rate of the control group after changing over the drug for 3,6,and 9 days were 7.14%,14.29% and 14.29% respectively,the experiment group was significantly higher than that in the control group,the difference was statistically significant （P0.05）.Conclusion Alcohol gauze can effectively prevent the further spread for related local infection of central venous catheter,also can treat the local infection of central venous catheter.