不同因素对腹膜透析中途掉队的影响分析

Effects of Different Factors on PD Dropout Rates

目的:通过分析不同因素对腹膜透析(PD)患者中途掉队的影响,讨论减少掉队策略。方法:收集西安交通大学医学院第一附属医院腹透中心287例掉队患者资料,分析中途掉队原因。结果:中途掉队的主要原因是心脑血管事件和腹膜炎等相关并发症反复发生,达到75.96%(218/287),其次为肾移植,达到12.54%(36/287)。结论:我院PD患者中途掉队的主要原因是心脑血管事件和腹膜炎等相关并发症反复发生,其次是肾移植。

Objective： To investigate strategies for reducing peritoneal dialysis（PD） dropout rates of patients by analyzing different factors involved. Methods： 287 Patients having PD treatment in the first affiliated hospital of Xi＇an Jiaotong University, were enrolled in the study, and their dropout causes were analyzed respectively. Results： The main cause of PD dropout of the patients was the reoccurrence of complications like cardiovascular cerebrovascular disease and peritonitis, and the reoccurrence rate recorded 75.96%（218/287）. The secondary cause was kidney transplant（36/287, 12.54%）. Conclusion： The main reason of PD dropout in this study shows that the reoccurrence of complications including cardiovascular cerebrovascular diseases and peritonitis repeated attacks, and the kidney transplant being the secondary cause.