2%葡萄糖酸氯己定醇皮肤消毒液预防中心静脉导管相关感染的成本效益研究

发布时间：2018-02-01 11:18

本文关键词： 葡萄糖酸氯己定导管相关性感染皮肤消毒剂中心静脉导管　出处：《中华医院感染学杂志》2015年23期 　论文类型：期刊论文

【摘要】：目的探讨2%葡萄糖酸氯己定醇皮肤消毒液预防中心静脉导管相关感染的成本效益,为节约经费提供参考依据。方法选择2014年1-6月中心ICU静脉置管患者100例,随机分为氯己定组、复合碘组,每组各50例;分别使用2%葡萄糖酸氯己定醇皮肤消毒液和复合碘进行穿刺点护理,对比两组患者导管相关性感染预防的成本和效益进行比较,数据采用SPSS 19.0软件进行统计分析。结果 2%葡萄糖酸氯己定和复合碘在皮肤刺激性和预防导管相关性感染方面差异无统计学意义;换药次数、消毒液使用次数、无菌敷料数量和接头更换数量氯己定组和复合碘组差异有统计学意义(P0.05),且从各组的均值来看,氯己定的成本低于复合碘。结论氯己定和复合碘比较对控制中心静脉导管相关感染在短期差异无统计学意义,但氯己定能节省皮肤穿刺点换药成本。
[Abstract]:Objective to investigate the cost-effectiveness of 2% chlorhexidine gluconate skin disinfectant solution in the prevention of central venous catheter-related infection. Methods from 2014 to June, 2014, 100 patients with central ICU intravenous catheterization were randomly divided into chlorhexidine group and compound iodine group with 50 cases in each group. 2% chlorhexidine gluconate skin disinfectant solution and compound iodine were used for puncture point nursing respectively. The cost and benefit of prevention of catheter-associated infection were compared between the two groups. The data were analyzed by SPSS 19.0 software. Results 2% chlorhexidine gluconate and complex iodine had no significant difference in skin irritation and prevention of catheter-related infection. The frequency of dressing change, the number of disinfectant use, the number of sterile dressing and the number of replacement of joints were significantly different between chlorhexidine group and compound iodine group (P 0.05), and from the average value of each group. Conclusion the cost of chlorhexidine is lower than that of compound iodine. Conclusion there is no significant difference between chlorhexidine and complex iodine in the control of central venous catheter-related infection, but chlorhexidine can save the cost of dressing change at skin puncture point.
【作者单位】：上海市东方医院同济大学附属东方医院感染控制管理科;上海市东方医院同济大学附属东方医院综合ICU;
【基金】：中华医院感染控制研究基金资助项目(ZHYY2013-009)
【分类号】：R187
【正文快照】： 中心静脉导管(CVC)技术有效解决了患者血液动力学测量、营养支持、静脉输液、静脉给药、采血和急救通道维持的需求,成为救治患者主要的手段,尤其在ICU中得到了越来越多的应用。由于中心静脉导管的置入采用穿刺进行,置入后须留下切口并导致患者血管和外环境相通,患者容易发生导

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