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目的探讨血液透析室发生医院感染的危险因素及防治措施。方法选取于2015年3月至2016年3月在我院接受血液透析治疗的患者共90例。回顾性分析其临床资料,分析感染的危险因素,统计感染率。结果年龄≥60岁的感染率为42.9%,高于年龄<60岁,组间比较有差异(P<0.05);住院时间≥30d的感染率为29.0%,高于住院时间<30d,组间比较有差异(P<0.05);留置导管的感染率为33.9%,高于未留置导管,组间比较有差异(P<0.05);糖尿病肾病的感染率为41.7%,高于无糖尿病肾病,组间比较有差异(P<0.05);C-反应蛋白≥10g/L与C-反应蛋白<10g/L比较。组间比较无差异(P>0.05)。结论血液透析治疗中,引发医院感染的因素较多。因此,临床中应提高患者的免疫力,规范操作流程,保障治疗效果。
Objective To investigate the risk factors of nosocomial infection in hemodialysis patients and the preventive measures. Methods Totally 90 patients undergoing hemodialysis in our hospital from March 2015 to March 2016 were selected. Retrospective analysis of its clinical data, analysis of risk factors for infection, statistical infection rate. Results The infection rate was 42.9%, higher than 60 years old (P <0.05). The infection rate of hospitalization ≥ 30 days was 29.0%, higher than that of hospitalization <30 days. (P <0.05). The infection rate of indwelling catheter was 33.9%, which was higher than that of indwelling catheter (P <0.05). The infection rate of diabetic nephropathy was 41.7%, higher than that of non-diabetic nephropathy, There was significant difference between the two groups (P <0.05); C-reactive protein≥10g / L was compared with C-reactive protein <10g / L. There was no difference between the two groups (P> 0.05). Conclusion There are many factors that cause nosocomial infection during hemodialysis. Therefore, the clinical should improve the patient’s immunity, standardize the operation process, to protect the treatment effect.