CAJ | 학술논문

目的探讨血液透析患者股静脉置管感染的危险因素,寻找预防和控制股静脉置管感染的有效方法.方法对血液透析股静脉置管患者相关资料进行回顾性调查,分析股静脉置管患者感染危险因素,并采取干预措施,前瞻性观察感染控制效果.结果采取控制措施后,血液透析患者股静脉置管感染率从2010年的8.8％下降至2011年的2.9％.结论股静脉置管时间超过3周,局部护理不当、置管处被污染,患者常去公共场所,合并糖尿病,换药时间间隔过长,无菌技术不严格(患者自行换药)是血液透析患者股静脉置管感染的危险因素.严格无菌技术操作、重视留置导管的观察、正确进行导管的护理、尽量缩短导管留置时间、加强对患者的宣教是控制股静脉置管感染的有效措施.
목적 탐토혈액투석환자고정맥치관감염적위험인소,심조예방화공제고정맥치관감염적유효방법.방법 대혈액투석고정맥치관환자상관자료진행회고성조사,분석고정맥치관환자감염위험인소,병채취간예조시,전첨성관찰감염공제효과.결과 채취공제조시후,혈액투석환자고정맥치관감염솔종2010년적8.8％하강지2011년적2.9％.결론 고정맥치관시간초과3주,국부호리불당、치관처피오염,환자상거공공장소,합병당뇨병,환약시간간격과장,무균기술불엄격(환자자행환약)시혈액투석환자고정맥치관감염적위험인소.엄격무균기술조작、중시류치도관적관찰、정학진행도관적호리、진량축단도관류치시간、가강대환자적선교시공제고정맥치관감염적유효조시.
Objective To explore the dangerous factors of thigh venous catheterization infection to patients of hemodialysis,and seek the effective methods to prevent and control femoral venepuncture infection.Methods A retrospective survey was carried out to investigate the data of patients of hemodialysis suffering thigh venous catheterization infection,and to analyze the risk factors of thigh venous catheterization infection.Then we took intervention measures to make prospective observation to the effects of infection controls.Results After taking measures,rates of infections declined from 8.8％ in 2010 to 2.9％ in 2011.Conclusions Risk factors of thigh venous catheterization infection are as below:long-time ( ＞3 weeks ) of femoral venepuncture;catheters are polluted by wrongful deals; patients often go to public places; diabetes mellitus complication; too long time intervals of medicine dressing change; non-rigorous aseptic technique (self dressing change by patients).Effective measures of controlling thigh venous catheterization inffection are as below:rigorous aseptic technique; emphasizing indwelling catheters and observing; proper catheters nursing; shortening time for catheters indwelling strengthening propaganda and education to patients.