老年病人腹膜透析疗效分析

Effect of peritoneal dialysis in elderly patients

目的 :为评价老年病人腹膜透析的疗效。方法 :1 55例腹膜透析 6个月以上的病人按年龄分为老年组 59例 (年龄≥ 60岁 ) ,中年组 96例 (年龄 <60岁 ) ,观察两组病人腹膜透析前后的血压 ,血红蛋白、肾功能、肝功能及生存率的变化。结果 :老年组的原发疾病以高血压病、糖尿病为主 ,中年组则以肾小球肾炎为主 ,两组病人腹透后与腹透前比较 ,血压及血红蛋白差异无显著性 (P >0 .0 5) ;肾功能均有改善 ;老年组血浆总蛋白及白蛋白浓度降低 ,而中年组无变化 ;两组病人的 1年、2年及 3年生存率差异无显著性。结论 :腹膜透析简便易行 ,安全有效 。

Objective: To evaluate the effects of peritoneal dialysis in elderly patients. Method: One hundred and fifty five patients were divided into two groups(elder aged group ≥60 years, 59 cases; medium aged group<60 years, 96 cases). The changes of blood pressure, Hb and renal function between the two groups were compared after six months of peritoneal dialysis. The data were processed by SPSS 7.0 software. Results: Primary disease analysis showed 47.4% hypertension and 28.8% diabetes in elder aged group and 72.9% chronic glomerulonephritis in medium aged group. The changes of Bp and Hb was not significant in both groups after dialysis. Renal function was improved in both groups. Concentration of total protein and albumin was decreased in elder aged group and remained nearly unchanged in medium aged group after dialysis. The survival rates of the two groups had no difference. Conclusion: As a simple, safe and effective method, peritoneal dialysis is especially suitable to elderly patients for continuous treatment. [