摘要
目的分析糖尿病肾病患者血液透析患者肺部感染的危险因素,为肺部感染的管理及预防提供理论依据。方法回顾性分析2007年12月-2012年12月维持性血液透析的2型糖尿病肾病患者196例临床资料,统计分析患者肺部感染的危险因素,采用SPSS12.0软件进行统计处理。结果 196例维持性血液透析糖尿病肾病患者中共有27例发生肺部感染,其感染发生率为13.8%;维持性血液透析糖尿病肾病患者中肺部感染组的年龄为(68.2±7.5)岁、空腹血糖水平为(14.6±2.3)mmol/L、病程(6.4±3.3)月,非感染组分别为(57.4±7.6)岁、(12.4±1.7)mmol/L和(3.6±2.2)d(P<0.05),而感染组血红蛋白为(66.7±23.1)g/L,血清白蛋白为(33.4±4.2)g/L,每周透析时间为(6.4±3.3)h,感染组均显著低于非感染组的(84.6±22.5)g/L、(40.6±5.3)g/L和(3.6±2.2)h,差异有统计学意义(P<0.05)。结论血液透析糖尿病肾病患者的年龄、空腹血糖、血红蛋白、血清白蛋白水平、每周透析时间和病程是其肺部感染的高危因素。
OBJECTIVE To investigate the risk factors for pulmonary infections in the diabetic nephropathy patients undergoing hemodialysis so as to provide theoretical basis for the control and prevention of pulmonary infections. METHODS A total of 196 cases of type 2 diabetic nephropathy patients, who underwent maintenance bemodialysis from Dec 2007 to Dec 2012, were enrolled in the study, then the clinical data were retrospectively analyzed, and the risk factors for the pulmonary infections were statistically analyzed with the use of SPSS12. 0 software. RESULTS Of totally 196 cases of diabetic nephropathy patients undergoing maintenance hemodialysis, the pulmonary infections occurred in 27 cases with the incidence rate of 13.8%. Among the diabetic nephropathy patients undergoing maintenance hemodialysis, the age of the patients in the infection group was （68.2 ±7. 5）years old, （57.4±7.6）years old in the non-infection group; the fasting blood glucose level was （14.6±2.3）mmol/L in the infection group, （12.4±1.7）mmol/L in the non-infection group; the illness course was （6.4±3.3） days in the infection group, （3.6±2.2） d in the non-infection group（P〈0. 05）; the hemoglobin level, albumin level, and time of dialysis of the infection group were respectively （66.7±23.1）g/L, （33.4±4.2）g/L, and（6.4±3.3） h, significantly lower than（84.6±22.5） g/L, （40.6±5.3） g/L, and （3.6±2.2）h of the non-infection group, the difference was statistically significant （P〈0.05）. CONCLUSION The high risk factors for the pulmonary infections in the diabetic nephropathy patients undergoing hemodialysis include the age, fasting blood glucose, hemoglobin level, serum albumin level, dialysis time for every week, and illness course.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第24期5941-5942,5978,共3页
Chinese Journal of Nosocomiology
基金
湖州市科技攻关计划基金项目(2012GS05)
关键词
糖尿病
血液透析
肺部感染
危险因素
Diabetes
Hemodialysis
Pulmonary infect＋ore Risk factor
