预装酒精接头保护帽在PICC置管术后的应用

Application of pre-installed alcohol connector cap after PICC catheterization

目的探讨预装酒精接头保护帽在经外周静脉穿刺中心静脉置管(PICC)术后的临床应用效果。方法选取行PICC置管的患者100例,随机分为观察组和对照组,各50例,观察组使用预装酒精浸泡接头保护帽消毒;对照组使用酒精棉片包裹无针接头以正反揉搓法消毒。观察2组穿刺点感染、静脉炎、中央导管相关性血流感染(CLABSI)和血培养污染发生率。结果观察组穿刺点感染、静脉炎、CLABSI、血培养污染例数均少于对照组,其中穿刺点感染、静脉炎发生率显著低于对照组(P<0.05)。结论在PICC置管术后使用预装酒精接头保护帽来达到消毒的目的,对降低PICC术后穿刺点感染、静脉炎、CLABSI发生风险具有积极意义。

Objective To explore the application of pre-installed alcohol connector protective cap after peripheral central venous catheterization( PICC). Methods Totally 100 patients with PICC were randomly divided into observation group and control group,with 50 cases in each group. In the control group,needle-free connector was disinfected by counter-rubbing method with single-chip alcohol cotton for 15 seconds. In the observation group,the needle-free connector was disinfected by pre-installed alcohol connector cap PICC catheterization. The incidence of puncture point infection,phlebitis,Central Line Associated Bloodstream Infections( CLABSI)and blood contaminated were observed and compared between two groups. Results the incidence of puncture point infection and phlebitis were lower in the observation group than those in the control group( P < 0. 05). Conclusion It is an effective disinfection method to use pre-installed alcohol-based protective caps after PICC. It may reduce the risk of PICC-related puncture point infection and phlebitis.