持续性非卧床腹膜透析患者退出原因分析

Withdrawal from therapy in continuous ambulatory peritoneal dialysis patients: Cause

目的:通过对腹膜透析(PD)患者退出原因的分析,探讨防治对策。方法:回顾分析因慢性肾功衰竭(CRF)接受持续性非卧床腹膜透析(CAPD)患者的临床资料,了解退出原因,并分析死亡病例的死因。结果:共有87例患者符合条件,因各种原因退出PD共21例,退出率为24.1%(21/87)。其中死亡13例,转血液透析(HD)6例,肾移植2例。结论:死亡是CAPD患者短期内退出PD的主要原因,而心血管事件、腹膜炎是导致CAPD患者死亡的主要原因。因此应积极加强透析前的一体化治疗及PD患者透析后的持续管理。

Objective：To investigate the prevention and cure countermeasures through the analysis of the reason why some continuous ambulatory peritoneal dialysis patients withdrew from therapy. Methods. Retrospective analysis of clinical data of continuous ambulatory peritoneal dialysis （CAPD）patients due to chronic renal failure （CRF） from January 2003 to June 2008 in order to find the withdrawal cause and analze the death cause. Results：For various reasons,21 cases withdrew from peritoneal dialysis （PD） from a total of 87 cases of the condition,with the rate of 24.1 percent （21/87）. In the 21cases, 13 cases died, 6 cases were transfered to hemodialysis （HD） and 2 cases received renal transplantation. Conclusion：Death is the leading cause for patients with CAPD to withdraw from PD in a short period,and from the main reason, cardiovascular events and peritonitis are the main reasons caused CAPD patient death. Therefore,we should strengthen the integration of the pre--dialysis treatment and the sustained management of PD.