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选取本院ICU2014年3月~2016年3月间收治的留置中心静脉导管患者200例。随机分成对照组和观察组各100例。对照组给予常规护理服务;观察组给予集束干预策略进行干预。对比两组患者的置管位置、导管相关性血流感染发生情况、发生时间及住院状况。与对照组相比,观察组的锁骨下静脉置管率明显较高,股静脉置管率明显更低(P<0.05)。与对照组相比,观察组的导管相关性血流感染发生率明显更低,发生时间与住院天数更短,住院花费更少(P<0.05)。集束干预策略能够有效减少ICU中心静脉导管相关性血流感染的发生,缩短患者的住院时间,值得广泛应用。
200 cases of indwelling central venous catheter admitted to ICU from March 2014 to March 2016 were selected. Randomly divided into control group and observation group of 100 cases. The control group was given routine care services; the observation group was given the cluster intervention strategy to intervene. The catheterization position, catheter-related bloodstream infection, occurrence time and hospitalization were compared between the two groups. Compared with the control group, the observation group of subclavian vein catheterization rate was significantly higher femoral vein catheterization rate was significantly lower (P <0.05). Compared with the control group, the incidence of catheter-related bloodstream infections was significantly lower in the observation group, with shorter duration of hospitalization and hospital stay, and less hospitalization (P <0.05). Cluster intervention strategy can effectively reduce the incidence of central venous catheter-related bloodstream infections in ICU and shorten the hospital stay, which is worthy of wide application.