维持性血液透析患者感染的相关因素临床分析  

THE ANALYSIS OF RELATED RISK FACTORS OF MAINTENANCE HEMODIALYSIS PATIENTS WITH INFECTION

作　　者：娄爱菊[1] 吴炜戎[1] 谢启新 王簕[2] 

机构地区：[1]广州医学院荔湾医院,广东广州510170 [2]广州医科大学附属第三医院,广东广州510150

出　　处：《现代医院》2015年第12期47-49,共3页Modern Hospitals

基　　金：国家自然科学基金(编号:31200726);广州市科技计划项目(编号:2013J4100101);广州市卫生局医药卫生科技项目(编号:20141A011099);广州市市属高校科技计划项目(编号:1201430092)

摘　　要：目的 分析维持性血液透析（MHD）患者感染的发生情况及相关因素。方法 对广州医学院荔湾医院2013年1月~2015年1月期间51例MHD患者住院的资料进行分析。根据是否发生感染分为感染组和非感染组,比较两组患者的临床资料及C反应蛋白（CRP）、晚期氧化蛋白产物（AOPP）水平等指标,分析感染原因及易感因素。结果 51例MHD患者中有19例患者因感染住院,共感染34例次,最常见感染部位为肺部,占因感染住院的55.9%。年龄大、CRP高、AOPP高、低白蛋白、贫血等因素是患者较易感染的诱因,糖尿病患者较非糖尿病患者易发生感染。结论 在对MHD患者的管理中,需重视营养状况的评估,同时注意体内炎症和氧化指标的监测,为预防感染提供依据。Objective To analyze the infection and related factors of maintenance hemodialysis patients. Method To eollect 51 hemodialysis patients hospitalized in Liwan Hospital of Guangzhou Medical College from January 2013 to January 2015. They were divided into infection group and non -infected group. Clinical data, C -reactive protein （CRP） and AOPP levels were compared between two groups. Result 19 patients were hospitalized due to infection in 51 cases MHD patients. 19 patients had 34 times infection. The most common site of infection is pul- monary infection, accounting for 55.9%. Patients who were Older and with high CRP level, high AOPP level, low albumin, anemia were more susceptible to infection. Diabetic patients than non - diabetic patients are prone to infection. Conclusion In the process of the management of the MHD patients, we should pay more attention to assessment of nutritional status and monitoring body inflammation and oxidative indicators for preventing the infection.

关 键 词：维持性血液透析 感染 相关因素 晚期氧化蛋白产物 

分 类 号：R459.5[医药卫生—治疗学]