持续质量改进对老年腹膜透析患者营养炎症透析充分性和心血管事件的影响

The Effect of Continuous Quality Improvement for Elderly Nutrition Peritoneal Dialysis Patients Dialysis Adequacy Inflammation and Cardiovascular Events

目的:研究持续质量改进(CQI)对老年腹膜透析患者的临床作用及影响。方法:选取我院开展CQI期间坚持腹膜透析的老年患者23例,对比观察开展CQI前后患者的营养、炎症、透析充分性情况及心血管事件发生情况。结果:实施CQI后患者营养及透析充分性指标水平明显提高,炎症指标水平明显降低,腹膜炎、心血管事件发生率减少,差异有统计学意义(P<0.05)。结论:对老年腹膜透析患者实施CQI,能够有效改善其营养、炎症状况,增强透析充分性,减少心血管事件发生。

Objective： To observe the clinical effect and influence of continuous quality improvement（ CQI） for peritoneal dialysis in elderly patients. Methods： 23 cases of elderly patients with peritoneal dialysis during the selection of our hospital to carry out the CQI were selected. And the nutrition of patients,inflammation,dialysis adequacy and cardiovascular events before and after the CQI were observed. Results： Nutrition and dialysis adequacy index level in patients after the implementation of CQI increased significantly,inflammation index level significantly decreased,peritonitis,significantly reduce the incidence of cardiovascular events,P〈0.05. The difference was statistically significant. Conclusion： For elderly patients with peritoneal dialysis,CQI can effectively improve the nutrition and inflammation,strengthen the dialysis adequacy,reduce cardiovascular events.