腹膜透析患者退出原因及其相关社会因素调查分析

Analysis of the dropout and its related social factor in patients with peritoneal dialysis

目的通过对腹膜透析(PD)患者退出相关原因的分析,探讨防治对策。方法回顾性调查2006年7月～2011年12月在泰安市中心医院腹透中心进行腹膜透析的患者,分在透和退出两组,统计他们的性别、原发病、付费方式、退出原因,χ2检验法分析不同付费方式、不同性别在两组间的差异。结果 104例腹膜透析患者,在透58例,退出37例,转肾移植9例,退出率为35.58%。退出组医保患者比率低于在透组(P<0.01),女性比率高于在透组(P<0.05)。结论腹膜透析患者的退出和死亡受多种因素的影响,心血管事件是死亡的主要原因,经济困难、女性等因素均容易导致退出。

Objective To investigate the prevention and cure through the analysis of the reason why some peritoneal dialysis patients withdrew from therapy. Methods Between July 2006 and December 2011, all new PD patients were recruited. Their sex , primary diseases, payment mode, cause of dropout and cause of death were recorded. They were divided two groups ： in and out, The two groups were Compared in sex and payment mode by X2 - test. Result- s Among the 104 patients, 58 cases were in, 37 cases dropped out,9 eases received renal transplantation. The quit rate is 35.58%. The ratio of patients owing medical insurance in dropout group was significantly lower than in PD group（ P 〈 0.01 ） , The female ratio of dropout group was significantly higher than in PD group （ P 〈 0.05 ）. Conclusion Our study suggests that a lot of factors have influence to exit and death of peritoneal dialysis patients, The major cause of death is cardiovascular events. Poverty and women are easy to lead to exit.