连续性不卧床腹膜透析与间歇性血液透析治疗慢性肾功能衰竭的比较

目的:通过两种治疗方式的比较,对连续性不卧床腹膜透析(CAPD)的可靠性及可行性进行评价,为就诊困难、经济状况欠佳及不适应的慢性肾功能衰竭(CRF)患者进行CAPD治疗提供临床经验。方法:收集我院1995年12月~2002年12月CRF患者43例,分为CAPD组和IHD组。每周治疗前、后测肾功能、离子浓度、凝血时间;治疗中,每小时记录生命体征变化。结果:治疗后,两组患者血BUN、Scr无显著性差异。结论:IHD在毒素溶质清除率上优于CAPD。两者均能达到治疗CRF的效果。

Comparison of the continuous ambulatory peritoneal dialysis and the interval hemodialysis in curing the CRF

Objective:To evaluate the reliability and feasibility of the CAPD based on the comparison between two methods of therapy,i.e.the CAPD and the IHD,so as to provide clinical experience of CAPD treatment for the CRF patients who are difficult to seek medical advice or have financial difficulties or are unsuitable for the IHD treatment.Methods:Collecting the medical records of 43 CRF patients who ever accepted treatment in our hospital from December 1995 to December 2002 and classifying them into groups CAPD and IHD.Measuring kidney function,ion concentration and clotting time before and after treatment every week and recording variations of biotic characteristics every hour during treatment.Results:No obvious difference appears for the two groups of patients in respects of BUN and Scr.Conclusion:The IHD is superior to the CAPD in toxin solute purge ratio and both these two therapy methods are effective in curing the CRF.