葡萄糖酸氯已定抗菌透明敷贴治疗PICC置管穿刺部位感染的效果

The chlorhexidine gluconate antimicrobial transparent dressing in treatment of infection at the puncture site of peripherally inserted central catheter

目的探讨新型葡萄糖酸氯已定透明敷贴在治疗经外周静脉置入中心静脉导管(PICC)置管穿刺部位感染中的效果。方法选取72例PICC置管后穿刺点感染患者随机分为观察组和对照组,各36例。对照组常规碘伏湿敷后采用普通3M透明敷料固定穿刺点,观察组碘伏湿敷后采用新型葡萄糖酸氯己定抗菌透明敷料固定穿刺点。观察2组穿刺点感染改善效果。记录2组穿刺点愈合时间及换药次数。结果观察组穿刺点感染改善有效率97.22%(35/36),愈合时间(7.51±2.32) d,换药次数(1.82±0.81)次。对照组穿刺点感染改善有效率94.44%(34/36),愈合时间为(7.63±3.31) d,换药次数(2.32±1.12)次。2组穿刺点感染改善效果及愈合时间比较,差异无统计学意义(P> 0.05),观察组换药次数低于对照组,差异有统计学意义(P <0.05)。结论新型葡萄糖酸氯己定抗菌透明敷料能有效改善PICC置管后穿刺点感染症状,减少换药次数。

Objective To investigate the chlorhexidine gluconate antimicrobial transparent dressing in treatment of infection at the puncture site of peripherally inserted central catheter( PICC).Methods Totally 72 patients with puncture-site infection after PICC catheterization were assigned to the observation group and the control group,with 36 cases in each group.In the control group,the normal 3M transparent dressing was used fix the catheter after wet compression with 5% povidone-iodine solution.In the observation group,the hlorhexidine gluconate antimicrobial transparent dressing was used instead of normal transparent dressing.The efficacy of intervention was assessed.The healing time of puncture site and frequency of dressing change were observed and compared between two groups.Results The efficacy of intervention on infection was 97.22%(35/36) in the observation group and 94.44%(34/36) in the control group,and the healing time of puncture site was(7.51 ± 2.32) d in the observation group and(7.63 ± 3.31) d in the control group,with no significant difference between two groups(P > 0.05).There was a reduced times of dressing change in the observation group than that in the control group(1.82 ±0.81 vs.2.32 ± 1.12,P < 0.05).Conclusion The chlorhexidine gluconate antimicrobial transparent dressing is effective to relieve symptoms of infection at the puncture site of PICC and reduce the cost in dressing change.