血液净化患者深静脉导管感染的危险因素研究  

Study on Risk Factors of Deep-venous Catheter Infection in Patients Undergoing Blood Purification

作　　者：费沛[1] 肖厚勤[1] 罗昌霞[1] 郑璇[1] 

机构地区：[1]湖北医药学院附属太和医院肾内科,湖北十堰442000

出　　处：《实用预防医学》2012年第6期895-896,共2页Practical Preventive Medicine

摘　　要：目的分析血液净化患者深静脉导管感染的危险因素,为临床实施有效的预防措施提供参考信息。方法选择2010年1月-2011年10月湖北医药学院附属太和医院收治的血液净化患者142例,观察患者是否发生深静脉导管感染,并分析患者性别、年龄、置管部位、置管时间、导管腔数、基础疾病种类是否为感染发生的危险因素。结果本组142例血液净化患者发生深静脉导管感染17例,发生率为12.0%,其发生不受患者的性别、年龄影响(P>0.05),受患者的置管部位、置管时间、导管腔数、基础疾病种类的影响(P<0.05)。结论血液净化患者的置管部位、置管时间、导管腔数、基础疾病种类均为发生深静脉导管感染的危险因素,应针对以上各项采取有效的预防措施以提高患者的治疗效果。Objective To analyze the risk factors for deep-venous catheter infection in patients undergoing blood purification,and to provide the reference for applying the preventive measures in clinical practice.Methods One hundred and forty-two patients undergoing blood purification hospitalized in Taihe Hospital Affiliated to Hubei Medical College from January 2010 to October 2011 were enrolled in the study.The occurence of deep-venous catheter infection was observed in the patients,and the gender,age,site of catheter,catheter-retaining time,the number of catheter cavity and the kinds of underlying diseases of the patients were analyzed to identify the risk factors for the infection.Results Among 142 patients undergoing blood purification,17 suffered with deep-venous catheter infection,and the incidence rate was 12.0%.Its occurrence was unrelated to the patients＇ gender and age（P〈0.05）,but related to the site of catheter,catheter-retaining time,the number of catheter cavity and the kinds of underlying diseases of the patients（P〈0.05）.Conclusions Site of catheter,catheter-retaining time,the number of catheter cavity and the kinds of underlying diseases are the risk factors for deep-venous catheter infection in patients undergoing blood purification.The effective preventive measures based on the above risk factors should be adopted so as to improve the patients＇ outcomes.

关 键 词：血液净化 深静脉导管 感染 危险因素 

分 类 号：R459.5[医药卫生—治疗学]