【摘要】 目的 探讨外科规范化管理预防腹膜透析患者隧道及出口感染的效果。方法 选取2020年4月1日至2022年8月1日在医院置入腹膜透析管后于腹膜透析中心门诊随访的90例患者进行前瞻性研究，随机将其分为A组、B组、C组，每组30例。A组采用外科规范化换药方法，每月进行1次包含规范化操作指导及透析管维护的培训；B组采用传统换药方法，每月进行1次传统操作指导及透析管维护培训；C组仅采用传统换药方法，每3个月进行1次常规宣教指导。随访1年，记录并比较三组患者的隧道合并出口感染及出口感染发生情况。结果 A组未发生隧道合并出口感染及出口感染情况；B组发生1例隧道合并出口感染，3例出口感染；C组发生4例隧道合并出口感染，7例出口感染。A组的总感染发生率低于B组、C组，差异具有统计学意义（P<0.05）。结论 外科规范化管理可有效预防腹膜透析患者的隧道及出口感染情况，值得在临床中应用推广。更多还原

【Abstract】 Objective To explore the effect of standardized surgical management on the prevention of tunnel and outlet infection in peritoneal dialysis patients. Methods A prospective study was conducted on 90patients who were followed up in the outpatient department of the peritoneal dialysis center after placing the peritoneal dialysis tube in the hospital from April 1, 2020 to August 1, 2022. The patients were randomly divided into group A, group B and group C, with 30 cases in each group. The group A was treated with surgical standardized dressing change method, and training including standardized operation guidance and dialysis tube maintenance was conducted once a month; the group B was treated with traditional dressing change method, and received traditional operation guidance and dialysis tube maintenance training once a month; the group C only used the traditional dressing change method, and received routine education guidance once every 3 months. The patients were followed up for 1 year, and the incidence of tunnel combined outlet infection and outlet infection were recorded and compared among the three groups. Results No tunnel combined outlet infection and outlet infection occurred in the group A; there were 1 case of tunnel combined with outlet infection and 3 cases of outlet infection in the group B; there were 4 cases of tunnel combined with outlet infection and 7 cases of outlet infection in the group C. The total infection rate of the group A was lower than that of the group B and the group C, and the difference was statistically significant(P<0.05). Conclusion Surgical standardized management can effectively prevent tunnel and outlet infection in peritoneal dialysis patients, which is worthy of clinical application and promotion.更多还原