维持性血液透析患者感染的相关因素临床分析.docVIP

精品论文 参考文献 维持性血液透析患者感染的相关因素临床分析 四川省三台县人民医院 621100 【摘 要】目的：探讨维持性血液透析患者发生感染的相关因素的临床特点及分析。方法：选择本院收治的120例维持性血液透析患者的临床资料进行回顾分析，对患者的感染性疾病、原发病因、感染部位进行统计，并对患者的年龄、透析龄、透析充分性、贫血情况、血清蛋白、心功能状况与发生感染的关系等进行对比总结。结果：发生感染有50例，发生感染次数共计64例，平均每个感染者发生1.28次感染。患者的感染发生部位主要为肺部、上呼吸道、泌尿道以及皮肤软组织。其中，患者年龄大于60岁、透析龄超过1年、透析不充分、心衰、重度贫血组及低血清白蛋白的感染发生率均显著高于年龄小于60岁、透析龄小于1年、透析充分、无心衰、无重度贫血及血清白蛋白正常的患者组，差异具有统计学意义（Plt;0.05）。发生感染的患者中，梗阻性肾病和糖尿病患者的感染发生率较高。结论：高龄、透析龄过长、透析不充分、心功能不全、重度贫血等均是引起感染的重要因素，再透析治疗时应该保证充分的透析，并改善患者营养摄入以及保护患者心脏功能等方面来进行预防。 【关键词】维持性血液透析；感染相关因素；临床分析 Maintenance hemodialysis patients with the clinical analysis of related factors of infection Lai Yu-ming Santai peoples hospital of Sichuan 621100 Abstract：Objective：to study the maintenance hemodialysis patients in the clinical characteristics and analysis of relevant factors of infection.Methods：the records of 120 patients with maintenance hemodialysis in our hospital clinical data were analyzed retrospectively， in patients with infectious diseases， primary disease， infection， and the patients age， age of dialysis， dialysis adequacy， anemia， serum albumin， the condition of heart function and the relationship between the infection of comparison.Results：infections have 50 cases， infection occurred in a total of 64 cases， 1.28 times the average infection occurred.Infections in patients with parts mainly for lung， upper respiratory tract， urinary tract， and skin soft tissue.Of patients older than 60， more than 1 year， inadequate dialysis， dialysis age， heart failure， severe anemia group and low serum albumin infection rates were significantly higher than aged less than 60 dialysis， dialysis age less than 1 year， fully， without heart failure， severe anemia and serum albumin in patients with normal group， the difference statistically significant（P lt; 0.05）.Infection of the patients， the obstructed kidney disease and diabetes incidence of infection is higher.Conclusion：age， age is too long， inadequate dialysis， dialysis cardiac insufficiency， severe anemi