中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
40-42
,共3页
维持性血液透析%并发感染%影响因素%糖尿病%中心静脉导管
維持性血液透析%併髮感染%影響因素%糖尿病%中心靜脈導管
유지성혈액투석%병발감염%영향인소%당뇨병%중심정맥도관
Maintenance hemodialysis%Complication of infection%Influencing factors%Diabetes mellitus%Central venous catheter
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。
目的：分析維持性血液透析患者併髮感染的因素及對策。方法迴顧性分析2014年1~12月本院收治的52例維持性血液透析患者病歷資料，根據感染情況分為感染組30例和非感染組22例。分析併髮感染影響因素，探討控製感染對策。結果感染組30例患者共計42次感染，其中以呼吸道感染、泌尿繫感染、中心靜脈導管相關性感染為主要感染性疾病，所佔比例分彆為47.6%、19.0%和9.5%。感染組患者年齡、透析齡顯著高于非感染組患者；每週透析治療時間及患者的血紅蛋白和血清白蛋白含量均較非感染組患者低。年齡（β=0.954，OR=1.858）、白蛋白（β=0.872，OR=1.578）、透析齡（β=0.693，OR=1.467）對維持性血液透析患者透析感染有顯著影響（P<0.05）。結論維持性血液透析患者併髮感染影響因素諸多，對透析患者感染進行積極預防意義重大，做好透析評估，改善患者營養不良狀態，減少中心靜脈導管的留置及嚴格無菌操作，彊化醫者責任、細節意識是避免、減少維持性血液透析患者併髮感染的關鍵。
목적：분석유지성혈액투석환자병발감염적인소급대책。방법회고성분석2014년1~12월본원수치적52례유지성혈액투석환자병력자료，근거감염정황분위감염조30례화비감염조22례。분석병발감염영향인소，탐토공제감염대책。결과감염조30례환자공계42차감염，기중이호흡도감염、비뇨계감염、중심정맥도관상관성감염위주요감염성질병，소점비례분별위47.6%、19.0%화9.5%。감염조환자년령、투석령현저고우비감염조환자；매주투석치료시간급환자적혈홍단백화혈청백단백함량균교비감염조환자저。년령（β=0.954，OR=1.858）、백단백（β=0.872，OR=1.578）、투석령（β=0.693，OR=1.467）대유지성혈액투석환자투석감염유현저영향（P<0.05）。결론유지성혈액투석환자병발감염영향인소제다，대투석환자감염진행적겁예방의의중대，주호투석평고，개선환자영양불량상태，감소중심정맥도관적류치급엄격무균조작，강화의자책임、세절의식시피면、감소유지성혈액투석환자병발감염적관건。
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.
