| 腹膜透析患者规律性随访与发生并发症的相关性研究 |
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| 引用本文： | 苏彩虹,黄丽秋,李红艳,雷莹,杨椹,张云芳.腹膜透析患者规律性随访与发生并发症的相关性研究[J].国际医药卫生导报,2022,28(8):1057-1061. |
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| 作者姓名： | 苏彩虹 黄丽秋 李红艳 雷莹 杨椹 张云芳 |
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| 作者单位： | 南方医科大学附属花都医院 广州市花都区人民医院肾病学科，广州 510800 |
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| 基金项目： | 广州市医学重点学科建设项目（2021-2023）；
花都区科技计划项目（20-HDWS-016，21-HDWS-061，20-HDWS-026） |
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| 摘 要： | 目的:研究腹膜透析患者规律性随访与发生并发症的相关性，为临床诊疗及患者管理提供依据。方法:采用单中心回顾性分析方法，收集2020年1月至10月期间在南方医科大学附属花都医院随访的212例腹膜透析患者随访数据：患者本人每月到院1次随访为规律性随访好，否则为规律性随访差。规律性随访差56例作为非规律随访组，规律性随访好共1...
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| 关 键 词： | 腹膜透析 规律性随访 并发症 |
| 收稿时间： | 2022-01-31 |
Correlation between regular follow-up and complications in peritoneal dialysis patients |
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| Su Caihong,Huang Liqiu,Li Hongyan,Lei Ying,Yang Shen,Zhang Yunfang.Correlation between regular follow-up and complications in peritoneal dialysis patients[J].International Medicine & Health Guidance News,2022,28(8):1057-1061. |
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| Authors: | Su Caihong Huang Liqiu Li Hongyan Lei Ying Yang Shen Zhang Yunfang |
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| Affiliation: | Department of Nephrology, Huadu District People's Hospital of Guangzhou,
Southern Medical University,Guangzhou 510800, China |
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| Abstract: | Objective To study the correlation between regular follow-up and complications in
peritoneal dialysis patients, and to provide basis for clinical diagnosis and treatment
and patient management. Methods A single-center
retrospective analysis method was used. The data of 212 peritoneal dialysis
patients who were followed up in Huadu District People's Hospital of Guangzhou
from January to October 2020 were collected. Among them, 156 patients
themselves were followed up once a month, as a regular follow-up group, and
other 56 patients with poor regular follow-up as an irregular follow-up group.
The basic and clinical data of the two groups were analyzed. χ2 test was used for the
count data, independent sample t test
or Wilcoxon rank sum test was used for the measurement data, and Spearman rank
correlation analysis was used for correlation analysis. Results In the irregular follow-up group, the time of dialysis was 44.50 (22.00,
77.50) months, the education level above middle school accounted for 53.57%
(30/56), the systolic blood pressure was (147.84±19.79) mmHg (1 mmHg=0.133
kPa), the incidence of cardiovascular events was 28.57% (16/56), and the
incidence of respiratory diseases was 10.71% (6/56), which were higher than
those in the regular follow-up group (all P<0.05).
In the irregular follow-up group, the complete self-care accounted for 73.21%
(41/56), the fluid change by patients themselves accounted for 71.43% (40/56),
the residual urine volume was 100.00 (0.00, 300.00) ml, and the serum albumin
level was (33.65±5.14) g/L, which were lower than those in the regular
follow-up group (all P<0.05). The
56 patients in the irregular follow-up group had 53 cases of complications,
accounting for 94.64% (53/56); among the causes of complications,
cardiovascular events accounted for 26.32% (35/133). Correlation analysis
showed that regular follow-up was negatively correlated with self-care ability,
fluid change operators, time of dialysis, systolic blood pressure,
cardiovascular events, respiratory disease, and other diseases (r=-0.176, -0.272, -0.167, -0.196,
-0.195, -0.218, -0.159; P=0.011,
0.001, 0.015, 0.004, 0.004, 0.001, 0.021); regular follow-up was positively
correlated with education level, residual urine volume, and serum albumin level
(r=0.141, 0.204, 0.165; P=0.041, 0.003, 0.016). Conclusion During the long-term
maintenance peritoneal dialysis treatment, it is of great significance to
strengthen the regular follow-up for patients to reduce complications,
especially the occurrence of cardiovascular and cerebrovascular events. |
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| Keywords: | Peritoneal dialysis Regular follow-up Complications |
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