中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (01): 46-48.doi: 10.3969/j.issn.1671-4091.2014.01.012

• 血管通路 • 上一篇    下一篇

血液透析患者临时中心静脉置管感染的相关因素分析

韩琳,周蓉,张芸,冯雪芳,陈闽东,沈杰   

  1. 上海市杨浦区中心医院肾内科
  • 收稿日期:2013-07-08 修回日期:2013-09-13 出版日期:2014-01-12 发布日期:2014-01-12
  • 通讯作者: 周蓉 zhourongyp@126.com E-mail:zhourongyp@126.com

Analysis of the factors relating to catheter infection in hemodialysis patients with temporary central vein catheterization

  • Received:2013-07-08 Revised:2013-09-13 Online:2014-01-12 Published:2014-01-12

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摘要： 目的 探讨血透患者临时性中心静脉置管感染的相关因素。方法 选取2012年2月至12月上海市杨浦区中心医院肾内科临时血透置管患者82例，根据置管部位、是否合并糖尿病、患者血红蛋白、白蛋白、年龄、eGFR数值等因素分组研究导管感染率的发生。结果 股静脉置管感染率高于颈内静脉（P<0.05），糖尿病患者感染率高于非糖尿病患者(P<0.05)，营养指标(血红蛋白、白蛋白)影响血透患者导管感染率（P<0.05）。导管感染与患者年龄、eGFR无明显相关（P>0.05）。结论 血透患者临时中心静脉置管感染与置管位置、合并糖尿病、营养状况等有关，预防导管感染要从这几个方面入手，以减少临时中心静脉置管患者感染的发生。

关键词: 血液透析, 导管, 感染

Abstract: Objective To explore the factors relating to catheter infection in hemodialysis patients with temporary central vein catheterization. Methods Eighty- two hemodialysis patients with temporary central vein catheter and treated in the period of February to December 2012 in our hospital were retrospectively surveyed.
Patients were divided into several groups according to position of the catheter, diabetes, nutrition indicators (hemoglobin and albumin), age and eGFR. Their catheter infection rate was investigated. Results The catheter infection rate was higher in femoral vein (28.8%) than in internal jugular vein ( 6.7%; χ2=5.695, P＜0.05),  and was higher in patients with diabetes (33.3%) than those without diabetes (12.2%; χ2 =5.336, P＜ 0.05). The catheter infection rate was also influenced by the nutrition indicators of hemoglobin and albumin (P＜0.05), but not by age and eGFR of the patients (P＞0.05). Conclusions Catheter infection in hemodialysis patients with temporary central vein catheterization was related to position of the catheter, diabetes and nutrition indicators (hemoglobin and albumin). These factors should be taken into consideration to prevent catheter infection in hemodialysis patients with temporary central vein catheterization.

Key words: Hemodialysis, Catheter, Infection