爱康肤银敷料用于腹膜透析导管出口处感染的疗效  

Effect of a silver-containing hydrofiber dressing on exit infection of peritoneal dialysis catheter

作　　者：黄旋珠 王向阳 王丽莹 徐文艺 邱晶 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院肾内科,深圳518020

出　　处：《国际移植与血液净化杂志》2014年第5期23-25,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的探讨爱康肤银敷料用于腹膜透析导管出口处感染的疗效。方法将60例腹膜透析导管出口处感染患者按简单数字法随机分为观察组和对照组，每组30例。观察组导管出口处应用爱康肤银敷料换药；对照组出口处使用传统的庆大霉素、莫匹罗星软膏换药，比较2组患者伤口感染治愈率、治愈时间、再次感染率。结果观察组导管出口处感染治愈率为96．67％，对照组为80％，差异有统计学意义（x^2=4．043，P〈0．05）；观察组感染治愈时间为（5．2±2．1）d，对照组为（7．5±3．6）d，差异有统计学意义（t=2，P〈0．05）；观察组患者导管出口处再感染发生率为3．33％，对照组为13．33％，差异无统计学意义（x^2=1．964，P〉0．05）。结论爱康肤银敷料能有效控制腹膜透析导管出口处感染，缩短治疗时间，降低再感染率，是导管出口处感染治疗的有效方法，值得临床使用及推广。Objective To evaluate the curative effect of new nursing treatment of exit infection of peritoneal dialysis （PD） catheter. Methods Sixty peritoneal dialysis patients with exit infection of PD catheter were enrolled in this study and randomized into silver-containing hydrofiber dressing group （observation group） and traditional treatment group （control group）. For the control group, gentamicin or mupirocin ointment were used as the medical treatment. The clinical characteristics, pathogens, and outcomes were analyzed and compared with cure rate, cure time and reinfection rate between the observation and the control group. Results The cure rate of exit infection of PD catheter in the observation or control group was 96.67% vs 80% （x^2 = 4.043, P 〈 0.05）. The time which exit infection of PD catheter was cured was shortened in the observation group （（5.2 ±2.1） vs （7.5 ±3.6） d, t = 2, P 〈 0.05）. There was one patient reinfected in the observation group, otherwise four patients were reinfected in the control group （x^2 = 1. 964, P 〉 0.05）. Conclusion Silver-containing hydrofiber dressing can control exit infection of PD catheter, shorten treatment time, and reduce the incidence of reinfection.

关 键 词：腹膜透析 感染 爱康肤银敷料 

分 类 号：R459.5[医药卫生—治疗学]