摘要
目的:对维持性血液透析频率对患者感染与转归影响进行临床分析。方法:36例慢性肾衰竭维持性血液透析患者根据透析频率分为A、B、C 3组,频率分别为3次/周、1次/周、每3周5次,对12个月内各组患者感染及死亡情况进行统计分析。结果:36例患者中,共有感染44例次,共有死亡10例,病死率27.8%。3组感染发生例次比较,差异具有统计学意义(P<0.05),3组预后比较,差异有统计学意义(P<0.05)。结论:透析频率能影响维持性血液透析患者感染及转归,透析频率低于1次/周的患者易发生感染、病死率较高,临床治疗时应根据患者情况增加透析频率。
Objective:To explore the influence of dialysis frequency for infection of maintenance hemodialysis patients.Methods:36 cases of chronic renal failure patients undergoing maintenance hemodialysis were divided into A,B,C group according to the frequency of dialysis,frequency respectively:3 times per week,1 times a week,every 3 weeks for 5 times.Patients with infection and death of each group were statistically analyzed in 12 months.Results:In 36 patients,44 cases had infection,10 cases died,the mortality rate was 27.8%.The difference among infection of the three groups were statistically significant(P<0.05).The difference among prognosis of the three groups were statistically significant(P<0.05).Conclusion:Dialysis frequency can influence the infection and prognosis of maintenance hemodialysis patients.Patients with Dialysis frequencies below 1 times/week were susceptible to infection and had high mortality,so we should increase the frequency of dialysis according to the situation.
关键词
血液透析
感染
透析频率
Hemodialysis
Infected
Dialysis frequency