3个月内腹膜透析患者递增式腹膜透析109例疗效观察

Eearly impact of incremental peritoneal dialysis

目的观察3个月内腹膜透析患者使用递增式腹膜透析的疗效,为早期控制尿毒症患者症状提供较好的方法。方法调查对象为2007年1月至12月在北京大学第三医院腹膜透析中心接受持续非卧床腹膜透析3个月以内的终末期肾病患者共109例。对新进入腹膜透析的患者采用递增式腹膜透析治疗,于腹膜透析第3个月末时评估患者的透析充分性、营养状态,并于透析前及第3个月末时观察合并症情况。结果使用递增式腹膜透析的腹膜透析患者第3个月末时的透析充分性及营养状态良好,第3个月末合并症较透析前明显降低,血压及各生化指标较透析前明显好转。结论递增式腹膜透析在透析早期疗效显著,能明显改善患者的生活质量。

Objective To investigate the early impact of incremental peritoneal dialysis. Methods 109 new peritoneal dialysis patients treated with incremental peritoneal dialysis were included in the present study. Clinical data, dialysis adequacy and nutritional status were evaluated at the initiation of dialysis and at 3 months after PD. Results The peritoneal dialysis patients achieved good results in the dialysis adequacy and nutrition at the end of the 3rd month. The patients＇ comorbidities reduced. BP and blood work improved significantly during the first 3 months. Conclusion Our results suggest that incremental PD improve patients clinical status even at the early stage of dialysis.