论文部分内容阅读
目的 :探讨分析导致尿毒症血透患者发生医院感染的危险因素。方法 :选取近年来我院收治的接受维持性血液透析的尿毒症患者147例作为研究对象,统计总结这些患者的年龄、体质量、感染部位、住院时间及实验室指标等基本情况,并评估诱发院内感染的主要危险因素。结果 :血液透析治疗尿毒症患者的年龄、住院时间、体质量、糖尿病肾病以及白蛋白水平均为引发医院感染的主要危险因素,而呼吸系统、胃肠系统、泌尿系统以及导管相关部位是医院感染的高发位置。结论:尿毒症血液透析患者的院内感染危险因素较高,针对高龄、体质量偏高以及伴随糖尿病肾病患者需给予格外关注,临床治疗时还需密切监测患者白蛋白水平,尽量缩短住院时间,以良好抑制医院感染事件的发生。
Objective: To investigate and analyze the risk factors of nosocomial infection in patients with hemodialysis. Methods: 147 cases of uremic patients who received maintenance hemodialysis admitted in our hospital in recent years were selected as the research objects. The basic conditions such as age, body mass, site of infection, length of hospital stay and laboratory indexes were summarized and evaluated. The main risk factors for nosocomial infections. Results: The age, hospital stay, body weight, diabetic nephropathy, and albumin level were all the major risk factors for nosocomial infection in patients undergoing hemodialysis. The respiratory, gastrointestinal, urological, and catheter-related areas were nosocomial infections The high incidence of location. Conclusion: In patients with uremic hemodialysis, the risk factors for nosocomial infection are high. Special attention should be paid to elderly patients with high body mass and patients with diabetic nephropathy. Patients with uremia should be closely monitored for albumin levels and hospitalization time as much as possible Good inhibition of the occurrence of nosocomial infections.