肾穿刺活检术后血肿感染危险因素分析

发布时间：2018-02-28 16:37

本文关键词： 肾穿刺活检血肿感染危险因素分析　出处：《中华医院感染学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探究并分析肾穿刺活检术后血肿感染的危险因素及相应的预防对策,为临床的预防和治疗提供可靠依据。方法回顾性分析2014年2月-2015年8月428例肾脏疾病患者肾活检的病理和临床资料,分析肾穿刺活检术后血肿感染的相关危险因素及病原菌分布。结果经单因素和多因素分析,年龄≥60岁、高血压、术前血肌酐升高、肾功能不全、术后3d内运动、术后血压升高、穿刺针外径1.2mm、切割点有偏差、操作经验不足、血肿增大等均是血肿感染的独立危险因素(P0.05),其中切割点有偏差、肾功能不全、过早运动及术前血肌酐升高的危险程度较高;感染病原菌以革兰阴性菌为主共75株占59.1%,革兰阳性菌52株占40.9%。结论肾穿刺活检术后血肿感染系多种危险因素共同作用,临床医护人员应在综合考虑的基础上做好感染的预防和治疗。
[Abstract]:Objective to explore and analyze the risk factors of infection after renal biopsy puncture hematoma and the corresponding preventive measures, and provide a reliable basis for clinical prevention and treatment. Methods a retrospective analysis of pathological and clinical data of February 2014 -2015 year in August 428 cases of kidney disease patients with renal biopsy, and pathogen analysis of risk infection after biopsy of renal hematoma puncture factors. Results by the single factor analysis and multi factors, 60 years of age or older, hypertension, preoperative serum creatinine, renal insufficiency, movement within 3D after operation, postoperative blood pressure increased, the needle diameter 1.2mm, cutting point deviation, operating experience, such as enlargement of hematoma were all independent risk factors hematoma infection (P0.05), the cut-off point deviation, renal dysfunction, premature movement and preoperative serum creatinine increased to a higher degree of risk; gram negative bacteria accounted for 59.1% of a total of 75 strains of pathogens, gram positive bacteria 52 strains accounted for 40.9%.. Conclusion hematoma infection after renal biopsy is a combination of multiple risk factors. Clinical medical staff should take precaution and treatment for infection based on comprehensive consideration.

【作者单位】：滨州市人民医院彩超室;滨州市人民医院普外科;
【基金】：山东省自然科学基金资助项目(ZR2014HP036)
【分类号】：R692

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