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目的研究维持性血液透析患者发生院内感染的危险因素,并制定相应的预防对策。方法回顾性分析2013年3月~2015年12月期间我院血液透析中心进行维持血液透析的200例慢性肾衰竭患者临床资料。结果 200例患者中,有47例患者合并院内感染,院内感染发生率为23.50%,感染率最高的部位为糖尿病肾病,占35.00%,其次为高血压肾病(30.95%)和慢性肾小球肾炎(15.87%);感染部位中,呼吸道感染率最高,为53.19%。结论高龄、透析时间过短、贫血、插管等均为维持性血液透析患者发生院内感染的高危因素,医院应加强对高危因素的管理和控制,减少院内感染发生率。
Objective To study the risk factors of nosocomial infection in maintenance hemodialysis patients and to develop corresponding preventive measures. Methods The clinical data of 200 patients with chronic renal failure who underwent hemodialysis from March 2013 to December 2015 in our hemodialysis center were retrospectively analyzed. Results Among the 200 patients, 47 patients had nosocomial infection. The incidence of nosocomial infection was 23.50%. The highest infection rate was diabetic nephropathy (35.00%), followed by hypertensive nephropathy (30.95%) and chronic glomerulonephritis (15.87%). Among the infected sites, the highest rate of respiratory infection was 53.19%. Conclusion The elderly, the dialysis time is too short, anemia, intubation and other risk factors for nosocomial infection in maintenance hemodialysis patients, the hospital should strengthen the management and control of risk factors to reduce the incidence of nosocomial infections.