肿瘤患者行PICC置管导致相关性血流感染的危险因素分析

Analysis of risk factors of tumor patients with PICC catheter cause-related bloodstream infections

目的研究肿瘤患者PICC置管后,导致患者血流感染的危险因素。方法本研究选取我院2010年6月～2012年6月于我院进行入院治疗的肿瘤患者120例作为研究对象,采用单因素及多因素Logistic分析对可能导致肿瘤患者PICC置管后发生血流性感染的因素进行分析。结果多因素Logistic回归分析结果显示:年龄(β=1.578,OR=4.470)、外周血象(β=1.234,OR=3.354)、化疗次数(β=1.244,OR=1.901)、穿刺次数(β=1.214,OR=1.919)、管置时间(β=1.361,OR=2.453)、糖尿病(β=1.324,OR=2.032)是PICC血液感染的独立危险因素。结论临床护理中应加强以上方面的预防,降低血流感染的发生率。

Objective To study of cancer patients PICC catheter,causing bloodstream infections in patients with risk factors.Methods In this study,select our hospital in June 2010 to June 2012 in our hospital carried admitted for treatment of tumor patients with 120 cases for the study,Univariate and multivariate Logistic analysis may lead to cancer patients PICC catheter infection in blood flow analysis.Results Multivariate Logistic regression analysis showed that：age（β=1.578,OR=4.470）,peripheral blood（β=1.234,OR=3.354）,number of chemotherapy treatments（β=1.244,OR=1.901）,number of puncture（β=1.214,OR=1.919）,tube（β=1.361,OR=2.453）,diabetes（β=1.324,OR=2.032） is an independent risk factor for PICC blood infection.Conclusion Clinical care should be strengthened in these areas of prevention,reducingthe incidence of bloodstream infections.