杭州市腹膜透析和血液透析治疗费用与疗效的比较研究

Comparative study on expenditure and their effect of hemodialysis and peritoneal dialysis

为比较腹膜透析和血液透析的费用和效果,对浙江大学附属第一医院和杭州市中医院的腹膜透析和血液透析者进行问卷调查。结果显示:(1)腹透者花费的年透析费用和因透析发生的年总医疗费用低于血透者;(2)腹透者可以间隔较长的时间到医院就诊,对于患者的治疗比较方便;(3)腹膜透析对生命质量的改善优于或至少不低于血液透析;(4)腹透并发症住院率高于血透。故建议积极推广腹膜透析,同时提高腹膜透析服务质量,降低其并发症发生率。

In order to compare the expenditure and effect of homodialysis and peritoneal dialysis, the study team investigated some dialysis patients in First Affiliated hospital of Zhejiang University and Hangzhow Chinese Traditional Hospital. The results showed that ： （ 1 ） The annual and total expenditure of peritoneal dialysis is less than the hemodialysis ; （2） It takes a longer time interval for the patients of peritoneal dialysis to visit the hospital than the hemodialysis patients which means more convenience to the patients ; （3） The peritoneal dialysis improves their quality of life is better than the hemodialysis patients ; （ 4 ） The hospitalization rate of complications caused by peritoneal dialysis is higher than hemodialysis. It had proposed that actively apply peritoneal dialysis and improve quality to reduce the rate of complications.