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目的探讨腹膜透析患者并发腹膜炎的相关因素。方法 140例腹膜透析患者,其中并发腹膜炎50例(观察组),未并发腹膜炎90例(对照组),回顾分析导致并发腹膜炎的相关危险因素。结果观察组与对照组患者在年龄、文化程度、经济收入等一般情况上比较,差异具有统计学意义(P<0.05);观察组有26例护理人员操作不当,占52.0%;有6例肠道感染,占12.0%;有3例呼吸道感染,占6.0%;有3例透析导管皮肤出口处感染,占6.0%;有12例重复使用碘伏帽,占24.0%。结论导致腹膜透析患者并发腹膜炎的相关因素包括年龄大、文化程度低、经济条件差、护理人员操作不当、肠道感染、呼吸道感染、透析导管皮肤出口处感染、重复使用碘伏帽等,临床上应采取积极措施进行干预。
Objective To investigate the related factors of peritonitis in peritoneal dialysis patients. Methods One hundred and forty peritoneal dialysis patients, including 50 cases with peritonitis (observation group) and 90 cases without peritonitis (control group), were analyzed retrospectively to analyze the related risk factors of peritonitis. Results There were statistically significant differences between the observation group and the control group in the general conditions such as age, educational level and economic income (P <0.05). In the observation group, 26 nursing staff were improperly operated, accounting for 52.0% Infection accounted for 12.0%. There were 3 cases of respiratory tract infection, accounting for 6.0%. There were 3 cases of infection in the outlet of dialysis catheter, accounting for 6.0%. There were 12 cases of repeated use of iodophor (24.0%). CONCLUSIONS: The related factors that lead to peritonitis in patients undergoing peritoneal dialysis include older age, poor education, poor economic conditions, improper operation of nursing staff, intestinal infections, respiratory infections, infection at the outlet of dialysis catheter skin, repeated use of iodophor Proactive measures should be taken to intervene.