腹膜透析患者频发感染性腹膜炎的病因分析

Pathogeny of frequent infectious peritonitis in peritoneal dialysis patients

  • 摘要: 目的 分析腹膜透析患者频发感染性腹膜炎的影响因素。 方法 回顾性分析本院收治的87例腹膜透析治疗过程中发生感染性腹膜炎患者的临床资料,根据1年内感染性腹膜炎发生次数将患者分为频发组(n=45, 1年内发生2次及以上)和单发组(n=42, 1年内发生1次)。对影响因素进行分析。 结果 频发组慢性肾炎、糖尿病肾病、合并糖尿病和慢性胃炎患者占比均显著高于单发组(P<0.05); 频发组血红蛋白及尿素氮水平均显著低于单发组(P<0.05); 频发组患者多重耐药菌及葡萄球菌的检出率均显著高于单发组(P<0.05)。 结论 腹膜透析患者频发感染性腹膜炎的影响因素较多,针对影响因素进行对症预防和治疗对于提高临床治疗效果,改善患者预后具有重要意义。

     

    Abstract: Objective To analyze the influencing factors of frequent infectious peritonitis in peritoneal dialysis patients. Methods The clinical data of 87 patients with infectious peritonitis during peritoneal dialysis was analyzed retrospectively. According to frequency of infectious peritonitis in one year, the patients were divided into frequent onset group(n=45, two or more times in one year)and single group(n=42, one time in one year). The influencing factors were analyzed. Results The proportions of patients with chronic nephritis, diabetic nephropathy, complicating with diabetes mellitus and chronic gastritis in the frequent onset group were significantly higher than that in the single onset group(P<0.05). The levels of hemoglobin and urea nitrogen in the frequent onset group were significantly lower, and the detection rates of multidrug-resistant bacteria and Staphylococcus in the frequent onset group were significantly higher than that in the single onset group(P< 0.05). Conclusion There are many influencing factors of frequent infectious peritonitis in peritoneal dialysis patients. Therefore, it is of great significance in improving treatment effect and prognosis by prevention and targeted treatment according to the influencing factors.

     

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