血液透析中心静脉导管感染的相关影响因素及干预对策分析

Analysis of influencing factors and intervention strategies of central venous catheter infection in hemodialysis

目的探讨分析血液透析中心静脉导管(CVC)感染的相关影响因素及干预对策。方法选取2018年1月~2019年8月我院收治的血液透析(HD)224例患者,收集所有患者的临床诊疗资料并进行回顾性分析。针对影响HD患者发生CVC感染的相关单因素和相关独立风险因素进行分析。结果所有224例患者中,共有12例(5.4%)发生CVC感染,经单因素分析提示,不同年龄、合并原发疾病、CVC留置时间下的CVC感染发生率比较,差异均有统计学意义(P<0.05)。影响HD患者发生CVC感染的相关独立风险因素为:年龄≥60岁、合并原发疾病、CVC留置时间≥10 d(P<0.05)。结论影响HD患者发生CVC感染的相关独立风险因素为患者年龄、合并原发疾病、CVC留置时间;针对危险因素实施针对性的护理干预,是降低临床HD患者发生CVC感染风险及发生率的关键因素。

Objective To explore and analyze the influencing factors and intervention strategies of central venous catheter(CVC)infection in hemodialysis(HD).Methods A total of 224 patients with HD admitted to our hospital from January 2018 to August 2019 were selected.The clinical diagnosis and treatment data of all patients were collected and retrospectively analyzed.The single factors and independent risk factors related to the occurrence of CVC infection in patients with HD were analyzed.Results Twelve of the 224(5.4%)patients had CVC infection.The single factors related to the occurrence of CVC infection in patients with HD was age,combined with primary disease,indwelling time of CVC,the differences were statistically significant(P<0.05).The independent risk factors related to the occurrence of CVC infection in patients with HD were age≥60,combined with primary disease,indwelling time of CVC≥10 d(P<0.05).Conclusion The independent risk factors that related CVC infection in patients with HD are patients′age,primary disease,indwelling time of CVC.Targeted intervention on these risk factors is the key to reduce the incidence and ratio of CVC infection in patients with HD in clinic.