摘要
目的分析血液透析患者深静脉置管感染相关因素,探讨预防措施。方法回顾性分析24例患者插管感染的发病情况及其高危因素。结果24例插管感染中,股静脉感染率高于颈内静脉;留置时间>14d插管感染率为2.37%,<7d插管感染率为0.13%,二者比较差异有显著性(χ2=13.64,P<0.001);置管感染的病原菌中,主要为革兰阳性球菌和革兰阴性杆菌,分别为46.67%和33.33%。结论患者机体抵抗力低下、插管留置时间过长、插管部位和护理不当等是其高危因素,应采取相应的预防措施。
Objective To analysis the related infection factors about hemodialysis patient with deep vein catheterization, and the discussion preventive measure. Methods To review analysis the incidence of infection and risk factors about 24 cases of hemodialysis patient with deep vein catheterization. Results In 24 cases of intubation infection, the femoral vein infection percentage is higher than the vena jugularis intema; 〉 14 day of intubation infection percentage is 2,37%, is smaller than 7 day of intubation infection percentage is 0.13%, both comparison difference has the significance （X2=13.64, P〈0.001）; In the pathogenic bacteria of tube infects, is mainly the G＋ coccus and the G＂ bacillus, respectively is 46.67% and 33.33%. Conclusion The patient resistivity is low, the intubation time is excessively long, the intubation spot and nurses and so on improper is its high-risk factor, should take the corresponding preventive measure.
出处
《中国医药指南》
2009年第16期13-15,共3页
Guide of China Medicine
关键词
血液透析
置管
感染
预防
Hemodialysis
Catheterization
Infection
Prevention
