CAJ | 학술논문

目的分析我院2006年1月至2012年6月腹膜透析相关性腹膜炎发生的相关情况，以指导腹膜炎的预防和治疗。方法回顾性分析我院2006年1月至2012年6月维持腹膜透析患者腹膜透析相关性腹膜炎的基本情况、培养结果及可能的致病因素。结果我院160名腹膜透析患者共发生224次腹膜透析相关性腹膜炎，腹膜透析相关性腹膜炎的发生率为20患者月/次，其基础疾病以慢性肾炎为主。培养结果中，革兰阳性菌以金黄色葡萄球菌及表皮葡萄球菌常见，革兰阴性细菌以大肠埃希菌及鲍曼不动杆菌常见。影响腹膜透析相关性腹膜炎发生的常见原因为不注意无菌操作。结论加强腹膜透析操作的培训对预防腹膜透析相关性腹膜炎有重要意义。有必要对维持腹膜透析患者进行腹膜透析操作再培训。
목적분석아원2006년1월지2012년6월복막투석상관성복막염발생적상관정황，이지도복막염적예방화치료。방법회고성분석아원2006년1월지2012년6월유지복막투석환자복막투석상관성복막염적기본정황、배양결과급가능적치병인소。결과아원160명복막투석환자공발생224차복막투석상관성복막염，복막투석상관성복막염적발생솔위20환자월/차，기기출질병이만성신염위주。배양결과중，혁란양성균이금황색포도구균급표피포도구균상견，혁란음성세균이대장애희균급포만불동간균상견。영향복막투석상관성복막염발생적상견원인위불주의무균조작。결론가강복막투석조작적배훈대예방복막투석상관성복막염유중요의의。유필요대유지복막투석환자진행복막투석조작재배훈。
Objective To analyze the correlation factor of patients with peritoneal dialysis-related peritonitis in our hospital from January 2006 to June 2012, we try to find a way to prevent and cure the peritonitis. Methods We retrospectively analyzed the basic information, result of culture and possible etiological factor of patients with peritoneal dialysis-related peritonitis in our hospital from January 2006 to June 2012. Result 160 patients had occurred peritoneal dialysis-related peritonitis 224 episodes in our hospital in the period. The incidence rate of the peritonitis was 1 episode every 20 months. The underlying disease is primary chronic nephritis. The culture result of the effluent showed that Staphylococcus aureus and Staphylococcus epidermidis were the most common Gram-positive bacteria, while Escherichia coli and Acinetobacter baumannii were most common gram negative bacteria. The etiological factor that affected peritonitis mostly was absence of sterile working. Conclusion Reinforcement of operation of peritoneal dialysis has important significance in preventing the occurrence of peritonitis. It is worth to retraining patients with peritoneal dialysis on operation.