摘要
目的探讨血液透析患者发生医院感染的危险因素,并为后期控制血液透析医院感染发生提供科学依据。方法收集2013年12月至2016年12月在雅安市人民医院肾内科进行血液透析的患者,共计410例,收集相关患者的人口学特征、医院感染情况和临床相关特征情况。并采用SPSS 20.0统计学软件分析血液透析患者医院感染的影响因素。结果患者发生医院感染的主要的感染部位以呼吸系统、泌尿系统、透析导管感染、皮肤及软组织感染、胃肠道系统。二元非条件logistic回归分析发现BMI≤18(OR=2.56)、患有糖尿病肾病(OR=2.05)、透析时间>1年(OR=3.58)、血清白蛋白≤30 g/L(OR=1.54)以及血红蛋白≤9 g/L(OR=3.79)是血液透析患者发生医院感染独立的危险因素。结论综上所述,进行血液透析的慢性肾功能衰竭患者发生呼吸系统和泌尿系统的医院感染可能性较高,同时BMI≤18、患有糖尿病肾病、透析时间>1年、血清白蛋白≤30 g/L以及血红蛋白≤9 g/L是血液透析患者发生医院感染的危险因素。
Objective To explore the risk factors of nosocomial infection in Hemodialysis Patients, and provide scientific basis for later control of hospital infection in Hemodialysis. Methods A total of 410 patients were collected from Ya＇an People＇s Hospital between December 2013-December 2016, and the demographic characteristics, circumstances and clinical characteristics of nosocomial infection were collected. The SPSS 20.0 software was used to to analyze the influencing factors of nosocomial infection in patients undergoing hemodialysis. Results Nosocomial infection in patients with primary site of infection in the respiratory system, urinary system, the dialysis catheter-related infections, skin and soft tissue infections, gastrointestinal system. Logistic regression analysis indicated that BMI≤18（OR =2.56）, people with diabetic nephropathy（OR =2.05）, dialysis duration1 year（OR =3.58）, serum albumin≤30 g/L（OR =1.54） and hemoglobin≤9 g/L（OR =3.79） were the independent risk factor for nosocomial infection in patients under hemodialysis. Conclusion In conclusion, high possibility of the occurrence of hospital infection of the respiratory and urinary systems was observed in patients with chronic renal failure under hemodialysis, and BMI≤18, people with diabetic nephropathy, dialysis duration1 year, serum albumin≤30 g/L and hemoglobin≤9 g/L were the independent risk factor for nosocomial infection.
作者
杨有京
薛痕
陈茂丽
YANG You-jing XUE Hen CHEN Mao-li(Department of Urology, Ya＇an City People＇s Hospital Ya＇an 625000, Chin)
出处
《中国医药指南》
2017年第19期32-33,共2页
Guide of China Medicine
关键词
慢性肾功能衰竭
血液透析
医院感染
Chronic renal failure
Hemodialysis
Nosocomial infection
