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目的腹膜透析置管术后在腹膜透析室和普通病房进行腹腔冲洗封管,观察术后休整期腹膜炎的发生情况。方法 2011年6月~2014年6月在我院接受腹膜透析91例终末期肾衰竭患者。腹膜透析置管术患者分别在腹膜透析室操作治疗区(1组)和紫外线消毒30分钟后的普通病房(2组)进行封管。腹膜透析时观察腹膜透出液的性质、透明度等,可疑患者立即留取存腹4小时腹膜透出液标本进行常规检查,并在同时留取标本进行细菌学培养。结果 1组38例患者中1例发生腹膜炎占2.63%,细菌培养为粪肠球菌;2组53例患者中4例发生腹膜炎占7.55%,两组无显著差异。结论术后在腹膜透析室和普通病房进行腹腔冲洗封管,对于休整期腹膜炎的发生无统计学差异。
Objective Peritoneal dialysis catheterization in the peritoneal dialysis room and general ward after abdominal irrigation tube, observe the postoperative peritonitis occurred during the rest period. Methods From June 2011 to June 2014, 91 patients with end-stage renal failure underwent peritoneal dialysis in our hospital. Peritoneal dialysis catheterization patients were treated in the peritoneal dialysis room area (1 group) and UV disinfection 30 minutes after the general ward (2 groups) for sealing. Peritoneal dialysis observed the nature of peritoneal dialysis fluid, transparency, suspicious patients immediately withdrawn from the abdomen for 4 hours peritoneal dialysis fluid specimens for routine examination, and at the same time specimens were taken for bacteriological culture. Results One group of 38 patients in 1 group had peritonitis accounting for 2.63%, and the bacterial culture was Enterococcus faecalis. Among the 53 patients in 2 groups, 4 patients had peritonitis accounting for 7.55%, with no significant difference between the two groups. Conclusions Postoperative peritoneal dialysis and peritoneal dialysis in general ward closed the tube, for the rest stage peritonitis no significant difference.