摘要
目的 探讨终末期肾脏病持续不卧床腹膜透析（CAPD）患者透析相关性腹膜炎的诱发因素,提高腹膜透析相关性腹膜炎的防治水平.方法 回顾性分析我院2010年1月～2012年12月内收集的139例腹膜透析患者的临床资料,对其中腹膜炎患者的诱发因素进行分析；比较原发病、营养状况、家居环境、腹膜透析操作、文化程度等因素与腹膜炎发生的关系.结果 139例患者中,42例发生腹膜炎71例次,发生率为1次/24患者月.致病菌中革兰阳性菌多见（71.7％）.操作不规范（45.1％）、感染性疾病（38.0％）、便秘（9.8％）是引发腹膜炎的主要因素.原发糖尿病、营养状况、家居环境、文化水平与腹膜炎的发生有关（P＜0.05）.结论 腹膜透析相关性腹膜炎多与操作不规范、感染性疾病以及便秘有关.原发病为糖尿病、营养不良、家居环境差、文化水平低的患者更易发生腹膜炎.
Objective To investigate the predisposing factors of Continuous Ambulatory Peritoneal Dialysis（CAPD）-related peritonitis in patients with end-stage renal disease.Methods Clinical data of 139 peritoneal dialysis patients were collected and analyzed retrospectively from Jan.2010 to Dec.2012.Predisposing factors of peritonitis were analyzed including the primary disease,nutritional status,home environment,peritoneal dialysis operation and education level.Results Forty-two patients occurred peritonitis for 71 episodes,the incidence rate of peritonitis was 1 episode per 24 patient-month.Gram positive bacteria was the most common pathogenic bacteria（71.7%）.Nonstandard operation（45.1%）,infectious disease（38.0%） and constipation（9.8%）were the main predisposing factors of peritonitis.Diabetes,malnutrition,poor home environment and low level of education were associated with the occurrence of peritonitis（P 〈 0.05）.Conclusion Nonstandard operation,infectious disease and constipation were the main predisposing factors of peritonitis.
出处
《临床内科杂志》
CAS
2013年第6期386-388,共3页
Journal of Clinical Internal Medicine
关键词
腹膜透析
腹膜炎
诱发因素
Peritoneal dialysis
Peritonitis
Predisposing factor
