腹膜平衡试验在临床中应用及护理

Clinical Application of Peritoneal Equilibration Test in CAPD and Nursing

随着腹膜透析（PD）装置的不断改进，PD合并感染虽明显减少，但透析不充分、营养不良等问题却日益突出。腹膜平衡试验（PET）提供了很好的解决办法。它使PD剂量和方式个体化。通过临床应用28例，其中高转运3例占10．6％，后改行间隙透析（IPD）；高于平均转运19例占67．9％；低于平均转运5例占179％；低转运1例占3．6％，后改行HD。在PET过程中，护士应准确无误的采集标本；教会患者正确配合；结果得出后帮助患者及时修改治疗方案。

Since the incidence of infeotion in CAPD patients has been decreasing due to the im-provement of peritoneal dialysis technology, the inadequacy of dialysis and malnutrition become more important. Peritoneal equilibration test (PET) provides a good solution to these problems by individualizing the dosage and mode of dialysis. In this study, the PET was used in 28 patients with CAPD. 3 cases had high transport, amounting to 1O.6%. After use of IDP, 19 patients (67. 9% ) had transport higher than average and 5 (17. 9% ) had transport lower than average. 1 patient had low transport who was later subjected to HD. The effect of dialysis can be improved by correct collection of samples, instruction of patients by nurses for better cooperation and timely re vision of treatment protocol.