血液透析患者转腹膜透析原因及预后分析

目的 分析血液透析转腹膜透析的原因并探讨影响其预后的因素.方法 调查2005年2月至2009年10月在本中心由血液透析转腹膜透析的连续性不卧床腹膜透析患者.以COX回归法分析影响患者死亡预后的因素.结果 21例转腹膜透析患者中血管通路条件不佳者16例.糖尿病患者平均存活时间短,低蛋白血症影响患者预后(P=0.001).结论 血液透析转腹膜透析的主要原因是血管通路条件不佳.糖尿病肾病患者预后较非糖尿病患者差.低蛋白血症的患者提示预后不良.

Causes and prognosis of patients transferring from hemodialysis to peritoneal dialysis

Objective To analyze the causes and prognosis of patients transferring from hemodialysis to peritoneal dialysis. Methods We retrospectively investigated the causes and prognosis of transferring from hemodialysis to peritoneal dialysis in patients between Feb. 2005 and Oct. 2009. Results 21 peritoneal dialysis patients were recruited for analysis. The maior reasons for the transfer were the poor hemodialysis vascular access and the unstable of cardiovascular system. 7 patients were died. Diabetic patients and Hypoproteinemia had worse prognosis. Conclusion The main causes of transferring to peritoneal dialysis were poor hemodialysis vascular access and the unstable of cardiovascular system. Patients with diabetic nephropathy and mal nutrition have worse prognosis.