肿瘤科中心静脉导管感染危险因素的预防和护理

Prevention and Nursing Oncology Centre Risk Factors of Catheter-related Infection

目的通过对我院就诊于肿瘤科进行中心静脉导管的患者进行调查,经过对导管培养及血培养结果的分析,研究肿瘤科中心静脉导管感染危险因素的预防及其护理方法。方法选取263例病例,病例患者是于2008年3月至2011年8月在我院肿瘤科因中心静脉导管问题就诊的住院患者,对其以问卷调查的方式进行调研。结果调查结果显示,在此组病例当中,有9例发生静脉炎,18例导管培养结果呈阳性,12例血培养结果呈阳性。这表明导致肿瘤中心静脉导管感染可能与患者的年龄、性别、不同的药物性质、治疗时是否使用静脉高营养治疗法、化疗进行的时间周期、导管的堵塞情况及置管后导管的留置时间等都有直接或间接关系。结论为尽可能地减少中心静脉导管的感染及预防中心静脉导管的相关性感染,在平时的医疗工作中一定要对相关制度和操作程序进行规范,进行护理时要严格认真。

Objective Ttrxough the investigation of patients in our hospital in oncology department of central venous catheter, through the analysis on the culture result catheter culture and blood, preventive oncology center for the study of risk factors for venous catheter-related infection and the nursing method. Methods 263 cases, patients in 2008 March to 2011 August is in the treatment of venous duct tumor coyne center in our hospital inpatients, carries on the investigation by the questionnaire. Results According to the results of the survey, this group of cases, 9 cases had phlebitis, catheter culture results were positive in 18 cases, 12 cases with positive blood culture results. This shows that lead to tumor of central venous catheter infection may be associated with age, gender, different nature of the drug, when treatment is whether the use of intravenous nutrition therapy, chemotherapy cycle time, catheter blockage and catheter indwelling time have direct or indirect relation. Conclusion As far as possible, reduce infection and prevention of central venous catheter related infection of central venous catheter, in medical usually work must regulate the related system and operating procedures, strict nursing.