脑出血PICC置管患者发生导管相关性感染的相关影响因素

Catheter-related Infection in Patients with Intracerebral Hemorrhage PICC Catheterization Related Influencing Factors

目的:探讨脑出血中心静脉导管(PICC)置管患者发生导管相关性感染(CRI)的相关影响因素。方法:回顾性分析2019年1月-2020年10月于赣州市人民医院行PICC置管的98例脑出血患者临床资料,分析脑出血PICC置管患者发生CRI的相关影响因素。结果:98例脑出血PICC置管患者中有84例(85.71%)出现CRI。年龄、昏迷时间、感染史、糖尿病史、单次置管次数、导管留置时间、血肿累及脑室均与脑出血PICC置管患者发生CRI有关,差异均有统计学意义(P<0.05);性别、吸烟史、饮酒史、置管部位、置管季节、有无导管移位与脑出血PICC置管患者发生CRI无关,差异均无统计学意义(P>0.05);年龄≥60岁、昏迷时间≥1周、糖尿病史、单次置管次数≥2次、导管留置时间≥60 d均为脑出血PICC置管患者发生CRI的高危因素(P<0.05)。结论:脑出血PICC置管患者发生CRI与年龄、昏迷时间、糖尿病史、单次置管次数、导管留置时间密切相关,针对各危险因素制定相应的干预措施,有助于减少CRI发生。

Objective:To investigate the influencing factors of catheter-associated infection(CRI)in cerebral hemorrhage patients with peripherally inserted central catheter(PICC)catheterization.Method:The clinical data of 98 patients with cerebral hemorrhage who underwent PICC catheterization in Ganzhou People’s Hospital from January 2019 to October 2020 were retrospectively analyzed,and the related influencing factors of CRI in patients with cerebral hemorrhage PICC catheterization were analyzed.Result:CRI was found in 84(85.71%)of 98 cerebral hemorrhage patients with PICC catheterization.Age,duration of coma,history of infection,history of diabetes,number of catheterization,duration of catheterization,hematoma involvement of ventricle were all correlated with the occurrence of CRI in cerebral hemorrhage patients with PICC catheterization,and the differences were statistically significant(P<0.05).Gender,smoking history,drinking history,catheterization site,catheterization season and catheter displacement were not correlated with the occurrence of CRI in cerebral hemorrhage patients with PICC catheterization,the differences were not statistically significant(P>0.05).Age≥60 years,coma duration≥1 week,history of diabetes mellitus,single catheterization times≥2 times,catheterization duration≥60 d were all high risk factors for CRI in patients with PICC catheterization(P<0.05).Conclusion:The occurrence of CRI in PICC catheterization patients with cerebral hemorrhage are closely related to age,coma time,diabetes history,single catheterization times,and catheter indwelling time.The development of corresponding intervention measures for each risk factor can help reduce the occurrence of CRI.