李源维持性血液透析肝病患者感染临床研究.docxVIP

维持性血液透析肝病患者感染的临床研究 摘要：目的：探讨维持性血液透析肝病患者的感染发生状况及感染的危险因素。方法：于2014年3月到2016年3月间，在我院选择维持性血液透析肝病70例患者作为研究对象，对所有患者的一般资料进行回顾性分析，统计患者的感染发生状况，总结患者感染的危险因素。结果：70例患者中出现感染41例，未发生感染29例，感染发生率达58.6%。发生感染组患者透析治疗时间、透析频率、存在肝硬化、透析充分性、存在急慢性合并症的分布状况及热量摄入量、蛋白质摄入量与未发生感染组相比存在明显差异，P＜0.05。发生感染组患者性别、年龄、体重指数、疾病类型分布状况与未发生感染组患者相比无明显差异，P＞0.05。结论：维持性血液透析肝病患者的感染发生率较高，且透析治疗时间、透析频率、存在肝硬化、透析充分性、存在急慢性合并症、营养状况是维持性血液透析肝病患者发生感染的危险因素，临床需根据患者实际状况采取针对性措施，积极预防感染发生。 关键词：维持性血液透析；肝病；感染；危险因素 Abstract: Objective: to discuss the maintenance infection of hemodialysis in patients with liver disease risk factors for the occurrence of infection and. Methods: in March 2014 to 2016 - March, in our hospital choose maintenance hemodialysis patients with liver disease 70 patients as the research object, the general information on all patients in a retrospective analysis, statistics of the patients infection status, summarizes the risk factors of infection in patients with. Results: 70 cases of patients with the infection can occur in 41 cases, no infection occurred in 29 cases, infection rate was 58.6%. Occurrence of infections in the group of patients with dialysis treatment time, frequency of dialysis, the presence of cirrhosis, and dialysis adequacy, acute or chronic Disease distribution and caloric intake, protein intake did not occur with the infection group compared to the existence of significant difference, P 0.05. Infection groups by gender, age, body mass index, type of disease distribution and no infection group showed no significant difference, P 0.05. Conclusion: maintain hemodialysis in patients with liver disease infection occurred at a higher rate and dialysis treatment time, the frequency of dialysis, the presence of cirrhosis,, dialysis adequacy, there is urgent chronic complications and nutritional status is happened feeling infection risk factors, clinical should according to the actual status of the patients taken to maintain hemodialysis in patients with liver disease Sexual measures, and actively prev