目的：探讨换药流程改造减少血透临时导管相关性感染的临床效果。方法：将2013年4月至2014年4月在我院接受临时导管血透的60例患者随机分为干预组与对照组，各30例。对照组施以常规的换药，干预组严格按照换药流程进行换药，对2组患者的感染率进行比较分析。结果：干预组患者置管时间平均为（46�35±6�24） d，总感染率为3�33％，对照组患者的置管平均时间为（39�24±4�64） d，总感染率为13�33％（P＜0�05）；且换药次数、治疗时间等临床指标优于对照组（ P＜0�05）。结论：采用科学、有效的换药流程对血透临时导管患者的感染能够起到抑制作用，一定程度上延长导管的使用寿命，促进患者的康复治疗。%Objective: To explore clinical effect of transformation of dressing change process on reducing temporary catheter⁃related infection in hemodialysis patients. Methods: A total of 60 patients underwent temporary hemodialysis from Apr 2013 to Apr 2014 were randomly divided into intervention group and control group, 30 cases in each. The patients in the control group received conven⁃tional treatment, the patients in the intervention group received dressing change according to the process, infection rate was compared and analyzed. Results: The indwelling time in the intervention group was (46�35±6�24) days, the total infection rate was 3�33%. The indwelling time in the control group was (39�24±4�64) days, the total infection rate was 13�33% (P<0�05). And there was significant difference in the number of dressing changes, treatment time ( P<0�05) . Conclusion: The scientific, effective dressing process playes an inhibitory effect in temporary catheter⁃related infection in hemodialysis patients and can prolong the service life of catheter, promote the rehabilitation of patients.
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