糖尿病肾病尿毒症患者血液透析与腹膜透析的疗效对比观察

The effect of continuous ambulatory peritoneal dialysis and hemodialysis in uremia patients with diabetic nephropathy

目的 :探讨治疗糖尿病肾病 (DN)尿毒症较理想的透析方法。方法 :对 6 2例作血液透析 (HD)和 34例作持续性非卧床腹膜透析 (CAPD)和DN尿毒症患者进行比较 ,观察两组患者透析前后的血液生化指标 ,生存率 ,死亡原因 ,透析后主要并发症。结果 :透析前合并有高血压、心脏肥大 ,冠心病或年龄大于 6 0岁者 ,行CAPD治疗后出现并发症的机会较HD少 (P <0 0 5 )。结论 :透析前合并有高血压 ,心脏肥大 ,冠心病或年龄大于 6

Objective: To asses the effect of different dialysis methods in uremia patients with diabetic nephropathy. Methods: Blood biochemical indexs, survival rate, cause of death and major complication were compared between 63 patients with hemodialysis (HD) and 34 patients with continuous ambulatory peritoneal dialysis (CAPD) Results: Compared to HD, patients more than 60 years old, with hypertension, cardiac hypertrophy, coronary heart diseases before dialysis and receiving CAPD had less complications than that of HD(P<0.01). Conclusion: CAPD is better than HD for uremia patients with diabetic nephropathy who are more than 60 years old, or with hypertension, cardiac hypertrophy, or coronary heart diseases before dialysis.