本文關(guān)鍵詞： 指南 重癥醫(yī)學(xué)科 中心靜脈導(dǎo)管 導(dǎo)管相關(guān)性血流感染 隨機(jī)試驗　出處：《廣東醫(yī)學(xué)》2017年16期 　論文類型：期刊論文

【摘要】：目的探討基于亞太感染控制協(xié)會(APSIC)預(yù)防中心靜脈導(dǎo)管相關(guān)性血流感染指南在重癥醫(yī)學(xué)科患者中的實(shí)踐效果。方法根據(jù)APSIC指南,結(jié)合參與研究的重癥醫(yī)學(xué)科實(shí)際情況,找出最佳循證證據(jù)及最佳臨床實(shí)踐路徑,設(shè)計干預(yù)方案。選取觀察組139例,對照組127例,觀察組基于APSIC預(yù)防中心靜脈導(dǎo)管相關(guān)性感染(CRBSI)指南進(jìn)行干預(yù),對照組采用常規(guī)操作。分析兩組干預(yù)措施對預(yù)防CRBSI的效果,數(shù)據(jù)采用SPSS 20.0統(tǒng)計軟件進(jìn)行分析。結(jié)果觀察組與對照組是否發(fā)生CRBSI對照分析顯示,形成完整診斷的CRBSI差異無統(tǒng)計學(xué)意義(P=0.248),疑似CRBSI的對比差異有統(tǒng)計學(xué)意義(P=0.022),靜脈血栓(P=0.338)、其他并發(fā)癥(P=0.138)差異無統(tǒng)計學(xué)意義。結(jié)論基于APSIC指南的循證干預(yù)并不能明顯改善使用中心靜脈導(dǎo)管過程中發(fā)生的并發(fā)癥,但是,基于指南的實(shí)踐干預(yù)組發(fā)生CRBSI的患者數(shù)少于對照組,說明基于APSIC指南的實(shí)踐干預(yù)是有價值的,特別是Ⅰ級證據(jù)。
[Abstract]:Objective to explore the practical effect of the guidelines for the prevention of central venous catheter-related blood flow infection based on the Asia-Pacific Association for infection Control (APSI) in patients with severe medical department. Methods according to the APSIC guidelines, combined with the actual situation of the intensive medicine department involved in the study, To find out the best evidence-based evidence and the best clinical practice path and to design the intervention scheme, 139 cases in the observation group and 127 cases in the control group were selected. The intervention in the observation group was based on the APSIC guidelines for the prevention of central catheter related infection. In the control group, routine operation was used to analyze the effect of two intervention measures on the prevention of CRBSI. The data were analyzed by SPSS 20.0 statistical software. Results the CRBSI was compared between the observation group and the control group. There was no significant difference in CRBSI with complete diagnosis (P < 0. 248), but there was no significant difference in suspected CRBSI (P = 0. 022), venous thrombosis (P = 0. 338), other complications (P = 0. 138). Conclusion Evidence-based intervention based on APSIC guidelines can not be significantly corrected. Complications arising from the good use of central venous catheters, However, the number of patients with CRBSI in the Guide-based practice intervention group was lower than that in the control group, indicating that the practice intervention based on the APSIC guidelines was valuable, especially the first-degree evidence.
【作者單位】： 廣東醫(yī)科大學(xué)附屬醫(yī)院心血管中心;廣東醫(yī)科大學(xué)附屬醫(yī)院手術(shù)室;廣東醫(yī)科大學(xué)附屬醫(yī)院放射科;廣東醫(yī)科大學(xué)附屬醫(yī)院重癥醫(yī)學(xué)科;廣東醫(yī)科大學(xué)附屬醫(yī)院護(hù)理教研室;
【基金】：湛江市財政資金科研專項備用經(jīng)費(fèi)項目(編號:2014C01029)
【分類號】：R473
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本文編號：1529901