[1]熊 琴,唐 亚,朱雅竹. 大面积烧伤患者发生早期深静脉置管导管相关性血流感染的危险因素分析[J].中国美容医学,2019,(11):26-28.
　XIONG Qin,TANG Ya,ZHU Ya-zhu. Risk Factors Analysis of Early Deep Venous Catheter-related Blood Stream Infectionin Patients with Extensive Burns[J].Medical Aesthetics and Beauty,2019,(11):26-28.
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 大面积烧伤患者发生早期深静脉置管导管相关性血流感染的危险因素分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
26-28
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Risk Factors Analysis of Early Deep Venous Catheter-related Blood Stream Infection
in Patients with Extensive Burns
文章编号:
1008-6455（2019）11-0026-03
作者:
 熊 琴; 唐 亚; 朱雅竹
Author(s):
 XIONG Qin; TANG Ya; ZHU Ya-zhu
关键词:
 ; [关键词]大面积烧伤; 早期; 深静脉置管; 导管相关性血流感染; 危险性因素; Logistic多因素回归分析
Keywords:
 ; Key words: large area burn;  early stage;  deep vein catheterization;  catheter-related blood stream infection;  risk factors;  Logisticmulti-factor regression analysis
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：分析大面积烧伤患者发生早期深静脉置管导管相关性血流感染（Catheter related blood stream
infection，CRBSI）的危险因素。方法：收集笔者医院2013年1月-2018年10月收治的110例行深静脉置管输液大面积烧伤患
者的临床资料，根据是否发生CRBSI将其分为感染组（n =40）和非感染组（n =70），比较两组临床资料并分析感染危险因
素。结果：两组导管类型、留置部位、留置时间、静脉营养、置管次数、营养不良及是否合并糖尿病比较差异具有统计学
意义（P ＜0.05）；两组性别、年龄、是否手术及输血比较差异无统计学意义（P ＞0.05）；Logistic多因素回归分析结果
显示，导管类型（OR =1.41，95%CI：1.09～1.84）、留置部位（OR =1.42，95%CI：1.13～1.78）、留置时间（OR =1.42，
95%CI：1.04～1.94）、静脉营养（OR =1.39，95%CI：1.03～1.87）、置管次数（OR =1.44，95%CI：1.14～1.81）、营养不
良（OR =1.42，95%CI：1.15～1.76）及糖尿病（OR =1.42，95%CI：1.15～1.74）为CRBSI发生的独立危险因素（P ＜0.05）。
结论：导管类型、留置部位、留置时间、静脉营养、置管次数、营养不良及是否合并糖尿病为大面积烧伤患者发生早期深静
脉置管CRBSI发生的危险因素。

Abstract:
Abstract: Objective To analyze the risk factors of early deep venous catheter-related blood stream infection (CRBSI) in patients
with extensive burns. Methods The clinical data of 110 patients with extensive burns undergoing deep vein catheterization
infusion in our hospital from January 2013 to October 2018 were collected. According to whether CRBSI occurred, they were
divided into infected group (n =40) and non-infected group (n =70), the clinical data of the two groups were compared and the
risk factors were analyzed. Results There were significant differences between the two groups in catheter type, indwelling
position, indwelling time, intravenous nutrition, tube placement, malnutrition and diabetes (P ＜0.05). There was no significant
difference in gender, age, surgery and blood transfusion between the two groups (P ＞0.05). Logistic multi-factor regression
analysis showed catheter type (OR =1.41, 95%CI:1.09～1.84), indwelling site (OR =1.42, 95%CI:1.13～1.78), indwelling
time (OR =1.42, 95%CI:1.04～1.94), intravenous nutrition (OR =1.39, 95%CI=1.03～1.87), number of catheterizations
(OR =1.44, 95%CI=1.14～1.81), malnutrition (OR =1.42, 95%CI:1.15～1.76) and diabetes (OR =1.42, 95%CI:1.15～1.74) were
independent risk factors for CRBSI(P ＜0.05). Conclusion Catheter type, indwelling site, indwelling time, venous nutrition,
number of catheterizations, malnutrition and diabetes are risk factors for CRBSI.

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更新日期/Last Update: 2019-12-09