用不同方法固定中心静脉导管的效果对比

Comparison of the effectiveness of different methods for fixing the central venous catheter

目的:比较使用不同方法固定中心静脉导管的效果。方法:选取2016年7月至8月期间在四川省肿瘤医院进行中心静脉置管的1148例患者作为研究对象。将2016年7月在四川省肿瘤医院进行中心静脉置管的576例患者作为对照组。将2016年8月在四川省肿瘤医院进行中心静脉置管的572例患者作为观察组。为对照组患者使用思乐扣将中心静脉导管固定为"U"或"S"型。为观察组患者使用思乐扣将中心静脉导管固定为"I"形。然后观察两组患者留置导管期间发生导管脱出或移位、导管相关性感染的情况及置管期间的舒适度。结果:置管期间,观察组患者导管脱出或移位的发生率及导管相关性感染的发生率均低于对照组患者,P<0.05。两组患者置管期间的舒适率相比,P>0.05。结论:为进行中心静脉置管的患者使用思乐扣将中心静脉导管固定为"I"形可降低其导管脱出或移位、导管相关性感染的发生率,且不影响其置管期间的舒适度。

objective: to compare the effects of using different methods to fix the central venous catheter. Methods: 1148 patients who underwent central venous catheterization in sichuan cancer hospital from July to August 2016 were selected as subjects. A total of 576 patients who underwent central venous catheterization in sichuan cancer hospital in July 2016 were selected as the control group. The observation group included 572 patients who underwent central venous catheterization in sichuan cancer hospital in August 2016. Patients in the control group were fixed with a central venous catheter of "U" or "S" shape using a syringe. For the observation group, the central venous catheter was fixed in an "I" shape with a thraculus. Then, the incidence of catheter prolapse or displacement, catheter-associated infection and comfort during catheterization were observed in both groups. Results: during catheterization, the incidence of catheter prolapse or displacement and catheter-related infection in the observation group were lower than those in the control group, P < 0.05. Compared with the comfort rate during catheterization in the two groups, P > was 0.05. Conclusions: in patients with central venous catheterization, fixation of the central venous catheter into an "I" shape with selectrum may reduce the incidence of catheter prolapse or displacement, catheter associated infections, and comfort during catheterization.