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投稿时间:2022-06-02 网络发布日期:2022-11-20
投稿时间:2022-06-02 网络发布日期:2022-11-20
中文摘要: 目的 探讨结直肠癌患者术后中心静脉导管(PICC)相关性感染的危险因素,为临床护理提供参考。方法选取2019年1月至2022年3月于海南医学院第一附属医院行PICC穿刺的结直肠癌患者98例,根据是否发生导管相关性感染分为感染组(35例)与无感染组(63例),比较两组患者的临床资料(性别、年龄、文化程度、合并症、化疗及中心静脉留置情况)及实验室检查(免疫相关指标、血常规、炎症因子等)指标,采用多因素logistic回归分析结直肠癌患者术后发生PICC相关性感染的危险因素。结果 感染组患者的合并糖尿病史、白细胞计数<4×109/L、穿刺次数≥2次、置管时间≥3月、化疗次数≥4次占比高于无感染组(P<0.01)。多因素logistic回归结果显示,合并糖尿病史、白细胞计数<4×109/L、穿刺次数≥2次、置管时间≥3月、化疗次数≥4次是结直肠癌患者术后发生导管相关感染的独立危险因素(P<0.05)。结论 结直肠癌患者术后PICC相关性感染发生相关因素复杂多样,临床护理时应提高导管管理力度,进行针对性干预。
Abstract:Objective To explore the risk factors of postoperative peripherally inserted central catheter(PICC)-related infection in patients with colorectal cancer (CRC).Methods A total of 98 patients with CRC received central venous catheter puncture in the First Affiliated Hospital of Hainan Medical University from January 2019 and March 2022 were selected. According to presence or absence of PICC-related infection, they were divided into infection group (35 cases) and non-infection group (63 cases). The clinical data (gender, age, education level, comorbidities, chemotherapy, and central venous indwelling) and laboratory examination indexes (immune-related indexes, routine blood test, inflammatory factors) in both groups were statistically analyzed. The risk factors of PICC-related infection were analyzed by multivariate logistic regression analysis. Results The percent of patients with diabetes history, white blood cell count<4×109/L,puncture times≥2, catheterization time≥3 months and chemotherapy times≥4 times in infection group were higher than that in non-infection group (P<0.01). The results of multivariate logistic regression analysis showed that diabetes history, white blood cell count<4×109/L,puncture times≥2, catheterization time≥3 months and chemotherapy times≥4 times were independent risk factors of postoperative PICC-related infection in CRC patients (P<0.05).Conclusions There are complex and diverse factors related to postoperative PICC-related infection in CRC patients. In clinical nursing, catheter management should be strengthened, and targeted intervention should be carried out.
文章编号: 中图分类号: 文献标志码:B
基金项目:海南省自然科学基金(822MS177)
附件
作者 | 单位 |
吴海梅1 | 1. 海南医学院第一附属医院胃肠肿瘤外科,海南 海口 570102; |
吴海葵2 | 2. 三亚市人民医院普外科,海南 三亚 572000; |
翁向前3 | 3. 海南医学院第一附属医院放疗科,海南 海口 570102 |
Author Name | Affiliation |
WU Hai-mei*WU Hai-kui, WENG Xiang-qian | Department of Gastrointestinal Oncology, the First Affiliated Hospital of Hainan Medical University, Haikou, Hainan 570102, China |
引用文本:
吴海梅,吴海葵,翁向前.结直肠癌术后中心静脉导管相关性感染危险因素[J].中国临床研究,2022,35(11):1633-1636.
吴海梅,吴海葵,翁向前.结直肠癌术后中心静脉导管相关性感染危险因素[J].中国临床研究,2022,35(11):1633-1636.