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抗生素联合肝素在预防血液透析留置导管相关性感染的观察
作者:谢京辰 
单位:广西鹿寨县中医医院
关键词:抗生素 肝素 封管 血透 
分类号:R459.5
出版年·卷·期(页码):2014·42·第五期(551-553)
摘要:

目的:探讨抗生素联合肝素在预防血透患者相关性感染的效果及护理。方法:选择透析治疗的慢性肾衰竭尿毒症患者42例,随机分为观察组和对照组各21例,观察组采用抗生素联合肝素封管法,对照组采用浓肝素溶液封管,比较两组6个月、12个月、24个月透析导管相关感染(HCRI)发生率、血栓发生率、导管使用时间。结果:~24个月观察组HCRI发生率明显低于对照组,差异具有统计学意义(P<0.05);对照组导管使用时间为(221.1±67.4)d,观察组为(277.4±79.5)d,两组导管实用时间比较差异具有统计学意义(t=2.484,P=0.01);24个月的治疗过程中观察组除1例患者出现耳鸣外,对照组无一例发生不良反应。结论:在严格遵循消毒及无菌操作原则情况下,抗生素联合肝素封管在预防血透患者HCRI的发生明显优于单纯使用肝素封管法,是行之有效、实用且安全的方法,值得临床推广。

Objective: To investigate effect and nursing of preventing infection associated with Hemodialysis patients by antibiotics combined with heparin. Method: 42 chronic renal failure uremia patients who were treated with hemodialysis were randomly divided into observation group and control group,there were 21 cases in each group.observation group was sealed tube with antibiotics combined with heparin, control group were sealed tube with concentrated heparin solution, the dialysis catheter related infection (HCRI) incidence at post-treatment 6 months, 12 months, 24 months, thrombosis incidence, catheter duration of two group were compared with. Result: the HCRI incidence during ~ 24 months in observed group was significantly lower than that in control group, the difference was statistically significant (P<0.05); the catheter duration of control group was (221.1 ±is 67.4)days, observation group was (277.4 ± 79.5)days, The catheter duration of two groups was statistics significantly different (t= 2.484, P=0.01); observation group had one patient who had tinnitus during treatment process of 24 months, control Group had no adverse reaction. Conclusion: with strictly following principle of sterilization and aseptic operation, sealed tube by antibiotic combined with heparin is much better than simple use of heparin sealed method in preventing HCRI of Hemodialysis patients , it is an effective practical and safe method,it is worth of clinical promotion.

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