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目的探讨分析影响肿瘤化疗患者中心静脉置管(CVC)感染因素及护理干预措施。方法将2014年2月至2015年6月间在我院心肿瘤化疗患者进行中心静脉置管300例为研究对象,从置管、检测、维护和临床观察等方面给予研究。结果 300例CVC病人中,有7例病人发生感染,感染率为2.33%;其感染的主要原因与患者年龄、置管部位和天数、化疗时间、病情轻重、白细胞计数、激素应用、合并糖尿病以及高营养输入有关。结论肿瘤化疗患者行CVC术后,由于多种原因的影响CVC-RI在所难免。需严格遵守无菌操作,置管导管需保持通畅,有效缩短置管时间等措施,能有效的防止和降低感染的发生。
Objective To investigate the influencing factors of central venous catheter (CVC) infection and nursing intervention in patients with tumor chemotherapy. Methods 300 patients with central venous catheterization who underwent cardiac tumor chemotherapy in our hospital from February 2014 to June 2015 were enrolled in this study. The study included catheterization, testing, maintenance and clinical observation. Results The infection rate was 2.33% in 7 out of 300 CVC patients. The main cause of infection was related to patient age, site and days of catheterization, duration of chemotherapy, severity of illness, white blood cell count, hormone application, diabetes mellitus, High nutritional input related. Conclusion CVC-RI is inevitable due to various reasons after CVC surgery in patients with tumor chemotherapy. Need to strictly abide by aseptic operation, catheterization should be kept unobstructed, effectively shorten the catheterization time and other measures, which can effectively prevent and reduce the incidence of infection.