预充式导管冲洗器对中心静脉导管封管的效果
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作者单位:

常州市第一人民医院血液净化中心, 江苏 常州 213003

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通讯作者:

刘金凤  E-mail: jsczljf2011@163.com

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基金项目:

江苏省常州市卫生局卫生科技项目(WZ201419);江苏省常州市卫健委青年人才科技基金资助项目(QN201909);江苏现代医院管理研究中心课题基金资助项目(JSY-3-2019-098)


Observation on the sealing effect of pre-filled catheter irrigator on central venous catheter
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Blood Purification Center, The First People's Hospital of Changzhou, Changzhou 213003, China

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    摘要:

    目的 探讨预充式导管冲洗器对中心静脉导管封管的效果。 方法 选取2020年1月—2021年6月在某三级甲等医院血液净化中心采用颈静脉置管行血液透析治疗的患者,将符合入选标准的患者按照随机数字表法分为观察组和对照组。观察组患者采用预充式导管冲洗器对中心静脉导管封管,对照组患者采用肝素钠封管液封管,分析两组患者导管相关血流感染(CRBSI)发生及导管通畅情况、导管封管费用、冲管时间及封管时针刺伤发生情况。 结果 共纳入患者85例,其中观察组42例,对照组43例。观察组患者CRBSI发生率(0.79‰,1/1 260)低于对照组(5.43‰,7/1 290),观察组患者导管冲管时间[(6.44±1.11)s]短于对照组[(220.04±5.98)s],两组比较差异均有统计学意义(均P < 0.05)。观察组患者导管堵塞3例,对照组导管堵塞4例,两组比较差异无统计学意义(P=0.728)。观察组封管时未发生针刺伤,对照组发生针刺伤5例,两组比较差异有统计学意义(P < 0.05)。观察组患者封管费用人均11.40元,对照组患者封管费用人均15.14元。 结论 预充式导管冲洗器能有效降低采用颈静脉置管行血液透析治疗的患者CRBSI发生率,节约成本,减少针刺伤,提高工作效率。

    Abstract:

    Objective To explore the sealing effect of pre-filled catheter irrigator on central venous catheter. Methods Patients treated with hemodialysis through jugular vein catheterization in the blood purification center of a tertiary first-class hospital from January 2020 to June 2021 were selected. Patients who met the inclusion criteria were divided into the observation group and the control group according to the random number table method. Patients in the observation group used the pre-filled catheter irrigator to seal the central venous catheter, and those in the control group used heparin sodium sealing fluid to seal the catheter. The occurrence of catheter-related blood-stream infection (CRBSI), patency and sealing cost of catheter, duration of catheter irrigation and occurrence of needle-stick injury during catheter sealing were analyzed. Results A total of 85 patients were included, including 42 in the observation group and 43 in the control group. Incidence of CRBSI in the observation group (0.79 ‰, 1/1 260) was lower than that in the control group (5.43 ‰, 7/1 290), and the catheter irrigation time in the observation group ([6.44±1.11] seconds) was shorter than that in the control group ([220.04±5.98] seconds). Diffe-rences between two groups were statistically significant (both P < 0.05). There were 3 cases of catheter blockage in the observation group and 4 cases in the control group, without statistically significant difference between two groups (P=0.728). There was no needle-stick injury in the observation group when the catheter was sealed, however, 5 cases of needle-stick injury occurred in the control group, difference between two groups was statistically significant (P < 0.05). The average costs of catheter sealing for patients in the observation group and control group were 11.40 Yuan and 15.14 Yuan, respectively. Conclusion Pre-filled catheter irrigator can effectively reduce the incidence of CRBSI in patients undergoing hemodialysis through jugular vein catheterization, save costs, reduce needle-stick injury, and improve work efficiency.

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引用本文

祝喜鹰,刘金凤,牛洪艳,等.预充式导管冲洗器对中心静脉导管封管的效果[J]. 中国感染控制杂志,2023,(3):328-333. DOI:10.12138/j. issn.1671-9638.20233371.
Xi-ying ZHU, Jin-feng LIU, Hong-yan NIU, et al. Observation on the sealing effect of pre-filled catheter irrigator on central venous catheter[J]. Chin J Infect Control, 2023,(3):328-333. DOI:10.12138/j. issn.1671-9638.20233371.

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  • 收稿日期:2022-09-15
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  • 在线发布日期: 2024-04-28
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