护理学报2015，Vol.22Issue(23)：41-45,5.DOI:10.16460/j.issn1008-9969.2015.23.041
273例次腹膜透析相关性腹膜炎临床特征分析
Clinical Characters of 273 Times of Peritoneal Dialysis-related Peritonitis
摘要
Abstract
Objective To analyze the clinical characteristics of peritoneal dialysis -related peritonitis and explore its countermeasures. Methods We retrospectively analyzed 273 cases of peritoneal dialysis-related peritonitis with onset age, gender, duration of dialysis, onset season, hemoglobin, serum albumin, bacterial species and prognosis in our dialysis center from January 2007 to May 2014. Results There were no significant differences of 273 patients with peritoneal dialysis-related peritonitis in terms of onset season and gender. Patients aged over 60 accounted for 52.7% and patients themselves serving as operators of PD 47.6%and those with two years of dialysis 59.0%. Distributions of G+bacteria, G-bacteria, fungi, tuberculosis and poly infection were 60.1%, 34.5%, 2.9%, 1.0%,1.5% respectively; anemia status in the event of infection accounted for 82.8% and serum albumin below 35 g/L for 92.7%. Prognostic indicators between G+ and culture negative group were statistically insignificant while recovery and dropout rates in G-and culture negative group were statistically significant (P<0.05). Conclusion Recovery rate of G-group was lower than that of culture-negative group but dropout rate of G-group was higher than that of culture-negative group. Aged patients, patients with 2-year of dialysis and hypoalbuminemia, anemia, patients themselves serving as PD operators are risk factors of incidence. Therefore, we should pay more attention to the prevention and treatment of G-bacteria peritonitis, strengthen the initial training and regular operation re-evaluation in peritoneal dialysis for the occurrence of peritonitis.关键词
腹膜透析/腹膜透析相关性腹膜炎/临床特征/护理Key words
peritoneal dialysis/peritoneal dialysis-related peritonitis/clinical characteristics/nursing分类
医药卫生引用本文复制引用
丁小容,廖玉梅,高敏,徐春华,何艳,杨虹,刘颜..273例次腹膜透析相关性腹膜炎临床特征分析[J].护理学报,2015,22(23):41-45,5.基金项目
深圳市科创委2014年科技计划资助项目(201404153000584) （201404153000584）
