文章摘要

银离子敷料联合硫酸庆大霉素在妇科肿瘤经外周静脉置入中心静脉导管感染患者中的效果

作者: 1严树科, 1王玉琴, 1童玲, 1何萌, 1王康
1 海南省人民医院妇科,海口 570311
通讯: 严树科 Email: 1843965430@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.11.018

摘要

目的:探究银离子敷料联合硫酸庆大霉素在治疗妇科肿瘤经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)感染患者中的临床效果以及对并发症的防控价值。方法:选取2016年1月至2018年12月于海南省人民医院接受PICC治疗并发生穿刺点感染的94例妇科肿瘤患者为研究对象,按照随机数表法将所有患者平均分为观察组与对照组,每组各47例患者。观察组患者使用银离子敷料联合硫酸庆大霉素进行治疗,对照组患者使用常规方法进行治疗。比较两组患者穿刺点感染发生情况,两组患者感染治疗效果,两组患者穿刺点渗血发生情况和静脉炎发生情况以及不良反应发生率;统计感染患者病原菌分布情况。结果:两组患者穿刺点感染发生情况比较数据差异无统计学意义(P>0.05)。感染治疗效果比较发现,观察组患者总体有效率82.98%(39例),对照组患者总体有效率61.70%(29例),且观察组患者治疗有效、显效人数均高于对照组患者P<0.05。穿刺点渗血情况和静脉炎发生情况比较发现,观察组患者穿刺点渗血发生率、静脉炎发生率均低于对照组患者P<0.05。感染的患者病原菌共检出病原菌104株,其中革兰氏阴性菌62株(59.6%)、革兰氏阳性菌37株(35.6%)、真菌4株(3.8%)、其他菌种1株(1.0%)。结论:银离子敷料联合硫酸庆大霉素应用于妇科肿瘤PICC置管感染患者有利于提高患者感染治疗效果,降低PICC不良反应发生率。
关键词: 银离子敷料;硫酸庆大霉素;妇科肿瘤;外周静脉置入中心静脉导管;感染

Application effect of silver ion excipients combined with gentamicin sulfate in gynecologic tumor peripheral vein implantation central venous catheter patients with catheter infection

Authors: 1YAN Shuke, 1WANG Yuqin, 1TONG Ling, 1HE Meng, 1WANG Kang
1 Department of Gynecology, Hainan General Hospital, Haikou 570311, China

CorrespondingAuthor: YAN Shuke Email: 1843965430@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.11.018

Abstract

Objective: To investigate the clinical effect of silver ion excipients combined with gentamicin sulfate in the treatment of gynecologic tumor peripheral vein implantation central venous catheter (PICC) patients with catheterization infection and the value of prevention and control of complications. Methods: A total of 94 gynecological tumor patients who were treated with PICC in our hospital from January 2016 to December 2018 were selected as the subjects, and all patients were divided into two groups on average according to random table method, and 47 patients were observed in the observation Group and control group. The patients in the observation group were treated with silver ion excipients combined with gentamicin sulfate, and the control group patients were treated with conventional methods. The incidence of puncture point infection was compared between the two groups, the effect of infection treatment was compared between the two groups, the occurrence of puncture point seepage and phlogistic in two groups, and the incidence of adverse reactions were compared, and the distribution of pathogenic bacteria in infected patients was statistically analyzed. Results: There was no statistically significant difference in the incidence of puncture point infection between the two groups of patients P>0.05. Compared with the effect of infection treatment, it was found that the overall effective rate of patients in the observation group was 82.98% (39 cases), the overall effective rate of the control group was 61.7% (29 cases), and the patients in the observation group had effective treatment and the number of patients were higher than those in the control group, and the difference between the two groups was statistically. Compared with the occurrence of puncture point seepage and phlogistic, it was found that the incidence of puncture point seepage, the incidence of phlogistic and the incidence of adverse reactions in the observation group were lower than those in the control group, and the difference between the two groups of data was statistically significant P<0.05. The distribution of pathogenic bacteria in infected patients showed that 104 strains of pathogenic bacteria were detected, including 62 strains of Gram-negative bacteria (59.6%), 37 strains of Gram-positive bacteria (35.6%), 4 strains of fungi (3.8%) and 1 strains of other strains (1%). Pseudomonas aeruginosa, Escherichia coli and Klebsiella pneumoniae were the main gram-negative bacteria, and gram-positive bacteria were mainly Staphylococcus aureus. Conclusion: The application of silver ion excipients combined with gentamicin sulfate in gynecologic tumor PICC implantation is beneficial to improve the therapeutic effect of infection and reduce the incidence of adverse reaction of PICC, which is helpful to ensure the quality of life of patients.
Keywords: silver ion excipients; gentamicin sulfate; gynecological tumor; peripherally inserted central catheter; infection

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