血液透析患者两种部位临时性深静脉置管导管相关性感染的发生率比较

杨丽华

（延安市人民医院，陕西 延安，716000）

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摘要：

目的 比较血液透析患者两种部位临时性深静脉置管导管相关性感染的发生率。方法 选取我院2014年5月至2015年 6月收治的100例临时性深静脉置管血液透析患者，按照置管的不同部位将患者分为观察组和对照组，各50例。观察组患者在颈内静脉进行置管，对照组患者在股静脉进行置管，比较两组患者置换后导管相关性感染发生率。结果 观察组临时性深静脉置管血液透析患者感染总发生率为10.00%，低于对照组的32.00%，差异有统计学意义（P<0.05）。结论 临时性深静脉置管血液透析患者在颈内静脉置管后导管相关性感染发生率低于股静脉置管患者。因此，在进行临时性深静脉置管时，首选置管部位为颈内静脉，次选股静脉。若患者需要长期实施血液透析治疗，应在早期对患者进行静脉内瘘术，从而有效降低感染的发生率。

关键词：血液透析；临时性深静脉置管；颈内静脉置管；感染

中图分类号：R692.5 文献标志码：A文章编号：2096-1413(2017)18-0161-02

Comparison of the incidence of two parts temporary deep venous catheter-related infection

in hemodialysis patients
YANG Li-hua
(Yan``an People``s Hospital, Yan``an 716000, China)

ABSTRACT: Objective To compare the incidence rate of two parts temporary deep venous catheter-related infection in patients receiving hemodialysis. Methods One hundred cases of patients receiving temporary deep venous catheter in our hospital from May 2014 to June 2015 were selected, and they were divided into observation group and control group according to different tube parts, with 50 cases in each group. The patients in observation group were placed in the jugular vein and in control group were placed in the femoral vein, then the incidence rates of temporary deep venous catheter-related infection were compared between the two groups. Results The total incidence rate of temporary deep venous catheter-related infection in the observation group was 10.00%, which was lower than 32.00% in the control group, the differences was statistically significant (P<0.05). Conclusion The incidence of catheter-related infection in patients with temporary deep venous hemodialysis in internal jugular vein catheterization is lower than that in femoral vein catheterization. Therefore, in the temporary deep venipuncture, the preferred catheter site is internal jugular vein, followed by femoral vein. If patients need long-term implementation of hemodialysis therapy, they should treated with intravenous fistula early, which can effectively reduce the incidence of infection.
KEYWORDS: hemodialysis; temporary deep venipuncture; internal jugular vein catheter; infection

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