老年人居家腹膜透析并发腹膜炎的原因及对策

Causes of peritoneal dialysis of elders living at home complicated with peritonitis and its strategies

目的探讨老年人居家腹膜透析并发腹腔感染的原因及对策。方法分析2004年3月—2007年3月31例因肾衰竭行居家腹膜透析发生腹膜炎的原因。结果31例中因操作不规范引起的有13例;因腹泻引起的有6例;与原发疾病和低蛋白血症有关的6例;因隧道口及出口处皮肤感染有3例;与居家环境、文化程度有关的3例。细菌培养革兰阳性球菌8例,革兰阴性球菌5例,真菌2例。结论居家腹膜透析相关性腹膜炎受多种因素影响,建议加强宣教及操作培训。

Objective： To probe into the causes of peritoneal dialysis of elders living at home complicated with peritonitis and its strategies. Methods： The causes of peritonitis occurred in a total of 31 patients undergoing peritoneal dialysis at home because of renal failure from March in 2004 to March in 2007 were analyzed. Results： Among all cases, 13 peritonitis patients were caused by non - standard operation, 6 cases were caused by diarrhea, another 6 cases were related with primary diseases and hypoproteinemia. Three cases caused by tunnel mouth and debouch skin infection. Another 3 cases were related with home environment and cultural degree. Eight cases were with Grampositive coccobacteria bacterial culture, 5 cases were with Gram- negative coccobacteria, and 2 cases were with fungal infection. Conclusion： Home peritoneal dialysis related peritonitis of patients is influenced by many factors. One should strengthen propaganda and education and operation training for them.