持续性非卧床腹膜透析患者腹膜炎发生的危险因素分析

目的探讨非卧床腹膜透析患者腹膜炎发生的危险因素。方法选取我院2017年1月至2018年12月收治的慢性肾衰竭持续性非卧床腹膜透析患者260例作为研究对象,采用一般情况调查问卷收集患者信息,统计记录腹膜炎发生情况,采用多因素logistic回归分析确定腹膜炎发生的影响因素。结果 260例患者中发生腹膜炎的73例,占28. 08%;多因素logistic回归分析显示腹膜炎发生的独立危险因素有高龄、低文化水平、合并糖尿病、透析时长、总蛋白(TP)水平下降、血钙(Ca)水平下降。结论我院慢性肾衰竭持续性非卧床腹膜透析患者相关性腹膜炎发生率为28. 08%,腹膜炎发生独立危险因素为高龄、低文化水平、伴有糖尿病、透析时间长、总蛋白水平下降、血钙水平下降,结合危险因素制定防范干预措施非常重要。

Analysis of risk factors for peritonitis in patients with continuous ambulatory peritoneal dialysis

Objective To investigate the risk factors for peritonitis in patients with ambulatory peritoneal dialysis. Methods To select 260 cases of patients with chronic renal failure undergoing continuous ambulatory peritoneal dialysis who were treated in our hospital from January 2017 to December 2018 as the study subjects. The general situation questionnaire was used to collect patient’s information,and the incidence of peritonitis was statistically recorded.Multivariate logistic regression analysis was used to determine the influencing factors of peritonitis. Results There were 73 cases of peritonitis occurred in 260 patients,accounting for 28. 08%;multivariate logistic regression analysis showed that the independent risk factors for peritonitis were advanced age,low cultural level,combined diabetes,dialysis duration,decreased total protein( TP) level,and declining serum calcium( Ca) level. Conclusion The incidence of associated peritonitis in patients with chronic renal failure and continuous ambulatory peritoneal dialysis in our hospital was 28. 08%. The independent risk factors for peritonitis were advanced age,low cultural level,combined diabetes,dialysis duration,decreased total protein level,and declining serum calcium level. It was very important to develop preventive interventions based on the risk factors.