Comparison between the Effects of Two Different Care Methods for the Exit of Peritoneal Dialysis Catheter_West China Medical Journal

Authors：

ZHOU Xueli , QIN Min , YUAN Huaihong , REN Ying , LI Zi ,  DIAO Yongshu.

Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DIAO Yongshu., Email: xuelijianwei@163.com

Keywords：

腹膜透析; 出口处护理; 出口处感染; 护理方法

DOI：

10.7507/1002-0179.20130392

Video：

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目的　比较两种不同方法护理腹膜透析患者导管出口处的效果。方法　选取2008年7月－2009年12月51例患者作为试验组，直接采用聚维酮碘溶液擦洗导管出口处，2007年1月－2008年7月45例患者作为对照组，先用生理盐水清洗遂道口，再用聚维酮碘溶液擦洗导管出口处。比较两组导管出口处感染的情况及操作所需时间。结果　试验组出口评分系统（ESS）＜2分15例，2～3分34例，≥4分7例；对照组＜2分10例，2～3分24例，≥4分16例；两组差异有统计学意义（P＜0.05）。试验组护士操作时间为（3.0 ± 1.0）min，患者操作时间为（5.0 ± 1.5）min；对照组护士操作时间为（8.0 ± 2.0）min，患者操作时间为（10.0 ± 2.0）min；两组差异有统计学意义（P＜0.05）。结论　聚维酮碘溶液直接清洗、消毒导管出口处降低了感染的发生率，减少了操作环节和所需物品，缩短了操作时间。

Citation： ZHOU Xueli,QIN Min,YUAN Huaihong,REN Ying,LI Zi,DIAO Yongshu.. Comparison between the Effects of Two Different Care Methods for the Exit of Peritoneal Dialysis Catheter. West China Medical Journal, 2013, 28(8): 1250-1252. doi: 10.7507/1002-0179.20130392 Copy

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1. 　刘伏友, 彭佑铭. 腹膜透析[M].北京：人民卫生出版社, 2000: 437-438.
2. 　Judith B, Valerie P, Ana F. ISPD guidelines/recommendations: peritoneal dialysis patient training[J]. Perit Dial Int, 2006(26): 625-632.
3. 　许莹, 骆素平, 王兰, 等. 腹膜透析患者正常和感染外出口的评估与护理[J]. 中国血液净化, 2008, 7(4): 224-226.
4. 　Piraino B, Bailie GR, Bernardini J, et al. Peritoneal dialysis-related infections recommendations: 2005 update[J]. Perit Dial Int, 25(2): 107-131.
5. 　宋滢. 碘伏局部清除脓液辅助治疗急性化脓性扁桃体炎疗效观察[J]. 山西职工医学院学报, 2012, 22(1): 69-70.
6. 　许莹, 董捷. 国际腹膜透析学会2011 年关于“降低腹膜透析相关感染风险”郑重申明的新启示[J]. 中国血液净化, 2012, 11(11): 581-584.
7. 　Tacconelli E, Carmeli Y, Aizer A, et al. Mupirocin prophylaxis to prevent Staphylococcus aureus infection in patients undergoing dialysis: a meta-analysis[J]. Clin Infect Dis, 2003, 37(12): 1629-1638.
8. 　Collins A, Weinhandl E, Snyder JJ, et al. Comparison and survival of hemodialysis and peritoneal dialysis in the elderly[J]. Semin Dial, 2007, 15(2): 98-102.
9. 　Dong J, Wang T, Wang HY. The impact of new comorbidities on nutritional status in continuous ambulatory peritoneal dialysis patients[J]. Blood Purif, 2006, 24(5-6): 517-523.

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Comparison between the Effects of Two Different Care Methods for the Exit of Peritoneal Dialysis Catheter

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