超声引导锁骨下静脉置管对导管相关性血流感染控制研究

发布时间：2019-02-09 19:57

【摘要】：目的采用高频彩色多普勒超声实时引导锁骨下静脉精确置管对导管相关性血流感染发生率影响的临床研究,降低导管血流感染发生率。方法将实施锁骨下静脉精确置管的48例患者随机分为观察组和对照组,每组各24例,其中观察组采用高频彩色多普勒超声显像进行锁骨下静脉精确置管;而对照组则采用常规的方法进行置管,对所得的相关数据均采用SPSS13.0软件进行分析处理。结果两组患者临床资料比较差异无统计学意义;观察组锁骨下静脉精确置管一次成功23例占95.83%,对照组一次成功18例占75.00%;置管操作时间2min者观察组21例、对照组9例;出现并发症观察组2例占8.33%、对照组7例占29.17%;置管一段时间后进行血液细菌检查,结果显示观察组感染1例占4.17%、对照组感染3例占12.50%;4个指标观察组与对照组对比差异均有统计学意义(P0.05)。结论采用高频彩色多普勒超声引导锁骨下静脉精确置管和常规置管相比操作简便安全、异常成功率较高、并发症和感染率比较低,在临床上对于锁骨下静脉精确置管有一定的临床指导意义。
[Abstract]:Objective to study the effect of accurate catheterization of subclavian vein on the incidence of catheter-related blood flow infection by high frequency color Doppler ultrasound in real time, and to reduce the incidence of catheter blood flow infection. Methods Forty-eight patients with subclavian vein catheterization were randomly divided into observation group (n = 24) and control group (n = 24). In the control group, the tube was placed by conventional method, and the relevant data were analyzed and processed by SPSS13.0 software. Results there was no significant difference in clinical data between the two groups: in the observation group, 23 cases (95.83%) succeeded in accurate catheterization of subclavian vein at one time, 18 cases (75.00%) in the control group. There were 21 cases in observation group, 9 cases in control group, 2 cases in observation group (8.33%) and 7 cases in control group (29.17%). The results showed that 1 case of infection in observation group accounted for 4.17 cases, 3 cases in control group accounted for 12.50%; the four indexes of observation group and control group were significantly different (P0.05). Conclusion the accurate catheterization of subclavian vein guided by high frequency color Doppler ultrasound is simple and safe, the rate of abnormal success is higher, the complications and infection rate are lower than that of conventional catheterization. It has certain clinical guiding significance for accurate catheterization of subclavian vein in clinic.
【作者单位】：恩泽医疗集团(中心)台州医院超声科;
【基金】：浙江省卫生厅基金资助项目(ZW-2010B018)
【分类号】：R445.1;R543.6

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