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维持性血液透析患者发生导管相关性血流感染的影响因素分析

吴德花 郑丽花 吴华贞 郑书萍

中外医学研究2026,Vol.24Issue(12):9-12,4.
中外医学研究2026,Vol.24Issue(12):9-12,4.DOI:10.14033/j.cnki.cfmr.2026.12.003

维持性血液透析患者发生导管相关性血流感染的影响因素分析

Analysis of Factors Influencing Catheter-Related Bloodstream Infections in Patients Undergoing Maintenance Hemodialysis

吴德花 1郑丽花 1吴华贞 1郑书萍1

作者信息

  • 1. 福建省莆田九十五医院 福建 莆田 351100
  • 折叠

摘要

Abstract

Objective:To analyze the incidence of catheter-related bloodstream infections(CRBSI)and associated factors among patients undergoing long-term maintenance hemodialysis.Method:Clinical data of 142 end-stage renal disease patients undergoing long-term maintenance hemodialysis at Putian 95th Hospital from February 2023 to May 2025 were retrospectively analyzed.Patients were grouped into the infection group and the non-infection group based on whether they developed CRBSI,and the related influencing factors were analyzed through univariate and multivariate analyses.Result:Among 142 maintenance hemodialysis patients,26 developed CRBSI.Univariate analysis revealed that gender,body mass index,hypertension,and catheter insertion site were not associated with CRBSI occurrence in long-term hemodialysis patients with end-stage renal disease(P>0.05).Age,diabetes,catheter indwelling duration,implanted catheter type,and adherence to aseptic technique standards were significantly associated with CRBSI occurrence(P<0.05).Using CRBSI occurrence as the dependent variable and the aforementioned statistically significant factors as independent variables,multivariate analysis revealed that age>60 years,diabetes mellitus,catheter indwelling duration>2 weeks,long-term catheter type,and non-standard aseptic technique were independent risk factors for CRBSI in long-term maintenance hemodialysis patients(P<0.05).Conclusion:The risk of CRBSI remains high among patients undergoing maintenance hemodialysis.Clinicians should implement preventive interventions tailored to relevant risk factors to reduce infection risk.

关键词

终末期肾脏病/维持性血液透析/导管相关性血流感染/影响因素/预防性护理对策

Key words

End-stage renal disease/Maintenance hemodialysis/Catheter-related bloodstream infection/Influencing factors/Preventive nursing interventions

引用本文复制引用

吴德花,郑丽花,吴华贞,郑书萍..维持性血液透析患者发生导管相关性血流感染的影响因素分析[J].中外医学研究,2026,24(12):9-12,4.

中外医学研究

1674-6805

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