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目的分析腹膜透析相关性腹膜炎发生原因及解决办法。方法收集46例腹膜透析相关性腹膜炎患者的临床资料,分析其发生原因,并针对这些原因制定出相应解决办法。结果 46例患者中,有38例基础病为慢性肾炎,5例为糖尿病肾病,2例为高血压肾病,1例为多囊肾。致病菌以革兰阳性球菌为主。腹膜透析相关性腹膜炎的发生原因主要包括操作不规范、营养不良、合并有糖尿病,其中操作不规范患者20例,占比43.48%;营养不良患者21例,占比45.65%;合并糖尿病患者5例,占比10.87%。结论针对导致腹膜透析相关性腹膜炎发生的操作不规范、营养不良、合并有糖尿病因素,可对护理人员操作进行再培训,并强化对患者的营养补充,对基础疾病进行治疗。同时可为患者应用敏感的抗菌药物。
Objective To analyze the causes and solutions of peritoneal dialysis-related peritonitis. Methods The clinical data of 46 patients with peritoneal dialysis-related peritonitis were collected, their causes were analyzed, and corresponding solutions were formulated for these reasons. Results Of the 46 patients, 38 were chronic nephritis, 5 were diabetic nephropathy, 2 were hypertensive nephropathy, and 1 was polycystic kidney disease. Gram-positive bacteria cocci-based. Peritoneal dialysis related peritonitis causes include irregular operation, malnutrition, with diabetes, of which 20 cases of non-standard operation, accounting for 43.48%; 21 cases of malnutrition, accounting for 45.65%; 5 cases of patients with diabetes , Accounting for 10.87%. Conclusions In view of the irregular operation, malnutrition and peritoneal dialysis-related peritonitis, diabetes patients may be re-trained by nurses and the nutritional supplementation of patients may be strengthened to treat the underlying diseases. At the same time for patients with sensitive antimicrobial drugs.