肝衰竭患者导管相关性感染高危因素分析及护理对策.pdfVIP

第33卷第1期 安徽医学 Anhui 2012年1月 MedicalJournal 肝衰竭患者导管相关性感染高危因素分析及护理对策 黄敏李铭乔梁 朱义朗 [摘要]目的对肝衰竭患者导管相关性感染的高危因素进行监测、分析，探讨相应的护理对策。方法分析359例留置 导管相关性感染5项相关因素中，导管留置时间、导管穿刺局部渗血或皮下血肿、治疗次数是肝衰竭患者行人工肝治疗时中心静脉 职人员进行穿刺操作，提高一次穿刺成功率，减少局部渗血，建立完善的操作规程和操作流程，培养专职护理人员进行全程导管护 理，是降低导管相关性感染发生的有效措施。 [关键词]肝衰竭；导管；感染；高危因素 doi：10．3969／j．issn．1000—0399．2012．01．039 measuresfor infectionin with failure riskfactor and catheter—related High analysisnursing patientshepatic Min，Li al Huang Ming，QiaoLiang，et Liver No．2 236015，China Departmentof Diseases，FuyangPeople’SHospital，Fuyang Tomonitorand the riskfactorsincatheter—relatedinfectionin with failure， [Abstract]Objective analyzehigh patientshepatic measures．Methods dataabout359 indwelledwithcentralvenouscatheters and the The nursing monitoring patients explorecorresponding each 32 with failuresufferedcatheter— (CVC)was monitoring compared．Resultspatientshepatic retrospectivelyanalyzed，and parameter related theinfectionrateis8．9 5relatedfactorsincatheter—related infection．and 1％．Among infection，catheterindwelling orsubcutaneoushematomainthecatheter locationand timeswere riskfactorsin infec— hemorrhage puncture treating thehigh catheter—relate,d centralvenouscatheterswereindwelledin with 35strainsof bacteriaweredetec— tion(CRI)when patientshepaticfailure．Totally pathogenic tedinthe32 with wer