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| 维持性肾替代治疗患者腹膜透析转血液透析的因素探讨 | |
| 引用本文： | 唐卫刚,张苗,卢景奎.维持性肾替代治疗患者腹膜透析转血液透析的因素探讨[J].现代医学,2011,39(4):419-423. |
| 作者姓名： | 唐卫刚 张苗 卢景奎 |
| 作者单位： | 1. 南京大学医学院,江苏南京,210093;常州市武进人民医院肾内科,江苏武进,213002 2. 南京大学医学院附属鼓楼医院肾内科,江苏南京,210008 3. 常州市武进人民医院肾内科,江苏武进,213002 |
| 摘 要： | 目的:分析终末期肾病患者腹膜透析转血液透析的原因,并探讨其相关因素。方法:回顾分析176例行腹膜透析治疗的终末期肾病患者的临床资料,将退出腹膜透析转向血液透析的患者设为转换组,继续行维持性非卧床腹膜透析的患者作为对照组,并行对比分析。结果:176例腹膜透析患者中有23例(13.1%)改为血液透析治疗,其中7例为腹膜透析相关性腹膜炎,6例为透析不充分,5例为腹透管功能障碍,3例为超滤衰竭(ultrafiltration failure,UFF),其他2例。与对照组相比,转换组患者年龄较大,文化程度低,原发病为糖尿病肾病较多,开始透析时肌酐清除率(creatinine clearance rate,CCr)更低,营养不良及贫血程度较严重(P<0.05)。结论:腹膜透析相关性腹膜炎仍然是腹膜透析技术失败的主要原因,早期肾脏替代治疗,规范患者操作程序,改善患者贫血及营养状况有助于提高腹膜透析患者的技术存活率。 |
| 关 键 词： | 终末期肾病 腹膜透析 血液透析 |
Causes of end stage renal disease patients transfering from peritoneal dialysis to hemodialysis |
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| TANG Wei-gang,ZHANG Miao,LU Jing-kui.Causes of end stage renal disease patients transfering from peritoneal dialysis to hemodialysis[J].Modern Medical JOurnal,2011,39(4):419-423. | |
| Authors: | TANG Wei-gang ZHANG Miao LU Jing-kui |
| Institution: | 1.Medical School,Nanjing University,Nanjing 210093,China;2.Department of Nephrology,Drum TowerHospital Affiliated to Nanjing University Medical School,Nanjing 210008,China;3.Department of Nephrology,Changzhou Wujin People′s Hospital,Changzhou 213002,China) |
| Abstract: | Objective: To analyze the reasons of patients transferring from peritoneal dialysis(PD) to hemodialysis and explore the risk factors.Methods: The clinic data of 176 patients who received peritoneal dialysis were analyzed retrospectively.The patients were divided into two groups and analyzed comparatively.Results: Among the 176 patients,23 cases(13.1%) transferred from PD to hemodialysis.The reasons for the transfer were PD associated peritonitis(7 cases,30.4%),insufficient dialysis(6 cases,26.1%),mechanical... |
| Keywords: | end stage renal disease peritoneal dialysis hemodialysis |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |