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目的:研究医院PICC置管患者的感染控制管理应用效果。方法:选取2012年1月-2015年12月接受治疗的400名癌症、呼吸道疾病、肝病及心脑血管疾病患者,从中随机抽取200名患者作为研究对象,按治疗方案分为对照组和观察组。对照组为常规的PICC置管治疗方案,观察组在常规的PICC置管治疗方案上加强对感染管理控制。对比两组患者的感染情况,及分析使患者感染的因素。加强观察病人的各项指标的变化,并及时做好记录。结果:两组患者在加强感染控制前后的并发症对比分析,在控制感染管理后,观察组明显低于对照组并发症感染率,差异有统计学意义(P<0.05)。在加强PICC置管感染控制后,观察组的一次穿刺成功率明显高于对照组,两组比较具有统计学意义(P<0.05)。对比分析了单因素如PICC的留置时间(>30天、≤30天)、穿刺次数(>3、≤3)及置管部位(头静脉、肘静脉、贵要静脉)对两组患者的感染的影响,差异具有统计学意义(P<0.05)。结论:采用PICC置管感染控制管理后的治疗方案,可显著降低患者的感染率和并发症的发生概率,并且单因素发生概率也明显减小,效果良好。
Objective: To study the effect of infection control management in hospital PICC catheterization. Methods: A total of 400 patients with cancer, respiratory disease, liver disease and cardiovascular and cerebrovascular diseases were selected from January 2012 to December 2015. 200 patients were randomly selected as the research object and divided into control group and observation group . The control group was a routine PICC catheterization regimen, and the observation group enhanced infection management controls over routine PICC catheterization regimens. Compare the two groups of patients with infection, and analyze the factors that make the patient infected. Strengthen the observation of the patient’s changes in the indicators, and timely record. Results: Comparing the two groups before and after strengthening the infection control, the infection rate in the observation group was significantly lower than that in the control group after the infection was controlled (P <0.05). The success rate of puncture in observation group was significantly higher than that in control group after PICC catheterization was strengthened, and the two groups were statistically significant (P <0.05). Comparisons of the single factor such as PICC retention time (> 30 days, ≤ 30 days), the number of punctures (> 3, ≤ 3) and catheter site (head vein, elbow vein, The difference was statistically significant (P <0.05). Conclusion: The treatment regimen controlled by PICC catheter infection can significantly reduce the infection rate and the incidence of complications, and the single factor probability also significantly reduced, with good results.