103例次持续性非卧床腹膜透析相关性腹膜炎的临床流行病学研究

目的探讨持续性非卧床腹膜透析(CAPD)患者合并腹膜透析相关性腹膜炎发生的相关因素,为腹膜炎的防治提供依据。方法回顾性分析2002年1月1日至2011年1月31日该院住院的腹膜透析相关性腹膜炎患者64例(103例次)的临床资料。结果 103例次腹膜炎患者中痊愈80例次(77.67%),无效23例次(22.33%),死亡4例次(3.88%)。操作不规范21例次(20.39%),腹泻8例次(7.77%),导管引流不畅6例(5.83%),治疗不彻底4例次(3.88%),便秘1例次(1.00%),无明显诱因40例次(38.83%)。致病菌以大肠埃希菌(25.00%)最多见。结论 CAPD相关性腹膜炎感染以术后1个月发生多见,且以春、秋季发生较高。糖尿病、低清蛋白症是发生CAPD相关性腹膜炎感染的危险因素。

Clinical epidemiological study on 103 case-times of CAPD-related peritonitis

Objective To investigate the relevant factors of continuous ambulatory peritoneal dialysis(CAPD)related peritonitis to provide the evidences for the prevention and treatment of peritonitis.Methods 103 case-times of CAPD-related peritonitis episodes in 64 patients in our hospital from January 1st 2002 to January 31st 2011 were retrospectively analyzed.Results 80 case-times of peritonitis were cured with the total recovery rate of 77.67%.23 case-times were ineffective(22.33%).4 cases died(3.88%).The unstandardized operation was in 21 case-times(20.39%),diarrhea in 8 cases(7.77%),impeded catheter drainage in 6 cases(5.83%),incompleted treatment in 4 cases(3.88%),constipation in 1 cases and unobvious predisposition in 40 cases(38.83%).Pathogenic Escherichia coli(25.00%)was most common.Conclusion CAPD-related peritonitis is more likely to happen in a month after surgery and mostly happens in spring and autumn.Diabetes and low albumin are the risk factors of CAPD-related peritonitis infection occurrence.