摘要
目的：分析维持性血液透析患者并发感染的因素及对策。方法回顾性分析2014年1~12月本院收治的52例维持性血液透析患者病历资料，根据感染情况分为感染组30例和非感染组22例。分析并发感染影响因素，探讨控制感染对策。结果感染组30例患者共计42次感染，其中以呼吸道感染、泌尿系感染、中心静脉导管相关性感染为主要感染性疾病，所占比例分别为47.6%、19.0%和9.5%。感染组患者年龄、透析龄显著高于非感染组患者；每周透析治疗时间及患者的血红蛋白和血清白蛋白含量均较非感染组患者低。年龄（β=0.954，OR=1.858）、白蛋白（β=0.872，OR=1.578）、透析龄（β=0.693，OR=1.467）对维持性血液透析患者透析感染有显著影响（P〈0.05）。结论维持性血液透析患者并发感染影响因素诸多，对透析患者感染进行积极预防意义重大，做好透析评估，改善患者营养不良状态，减少中心静脉导管的留置及严格无菌操作，强化医者责任、细节意识是避免、减少维持性血液透析患者并发感染的关键。
Objective To investigate influencing factors and its countermeasures of maintenance hemodialysis patients with infection. Methods 52 maintenance hemodialysis patients in our hospital from January to December 2014 were divided into infection group（n=30） and non-infection group（n=22） according to the infection condition.Influence factors of concurrent infection was analyzed,and the counter measures to control infection was investigated respectively. Results 30 cases in infection group had 42 infection and respiratory tract infection （47.6%）,urinary tract infection （19.0%）,central venous catheter related infection （9.5%） were the main infection diseases.Age,dialysis ages of infection group were significantly higher than that of non-infected group.Weekly dialysis treatment time,the content of hemoglobin and serum albumin levels of infection group was lower than that of non-infected group respectively.Age（β=0.954,OR=1.858）,albumin （β=0.872,OR=1.578）,hemodialysis （β=0.693,OR=1.467） of maintenance hemodialysis patients infected with significant effects （P〈0.05）. Conclusion Patients undergoing maintenance hemodialysis concurrent infection on many factors,to actively prevent infection in dialysis patients is significant,so do dialysis to assess and improve the malnourished patients,reducing indwelling central venous catheters and strict aseptic technique, strengthen healer sense of responsibility and sense of detail is avoided,the key to reducing maintenance hemodialysis patients complicated by infection.
出处
《中国当代医药》
2015年第16期40-42,共3页
China Modern Medicine
关键词
维持性血液透析
并发感染
影响因素
糖尿病
中心静脉导管
Maintenance hemodialysis
Complication of infection
Influencing factors
Diabetes mellitus
Central venous catheter
