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目的探讨血液透析患者中心静脉长期导管腔内感染的治疗方法。方法 40例因中心静脉留置长期导管腔内感染住院治疗的尿毒症患者,随机分为A组(单纯静脉应用抗生素治疗)和B组(静脉应用抗生素,同时给予抗生素封管治疗),各20例。观察两组治疗效果。结果 B组显效率为75%,高于A组的25%,差异有统计学意义(P<0.05)。两组患者均未出现明显的不良反应。结论静脉应用广谱抗生素联合抗生素封管治疗维持性血液透析患者中心静脉留置长期导管腔内感染是一种安全、有效的方法。
Objective To investigate the long-term catheterization of central venous catheter in patients with hemodialysis. Methods Forty patients with uremia who were hospitalized for long-term intra-ductal catheterization due to central venous insufficiency were randomly divided into group A (simple intravenous antibiotic treatment) and group B (intravenous antibiotic with antibiotic pipe sealing treatment), 20 example. Observation of two groups treatment effect. Results The effective rate of group B was 75%, which was higher than that of group A (25%), the difference was statistically significant (P <0.05). No significant adverse reactions occurred in both groups. Conclusion Intravenous broad-spectrum antibiotics combined with antibiotics in the treatment of patients with maintenance hemodialysis central venous catheter indwelling long-term catheter infection is a safe and effective method.