腹膜透析患者1172次住院原因及趋势分析

Analysis of Incidence and Trends in 1172 Peritoneal Dialysis Hospitalization

目的:分析导致腹透患者住院的主要原因及趋势。方法:收集10年我院随访的腹透患者的住院资料,对人口学资料、入院原因等进行分析。结果:(1)有401例患者在随访期发生1172例次入院,平均住院日为19.34(11,23)d,年平均住院率为526住院次/1000病人年。(2)腹透相关性疾病(41.7%)、呼吸道疾病(16.6%)、心脑疾病(16.0%)和消化道疾病(10.2%)是导致入院的前四位原因,占总住院例数的84.5%。(3)腹透相关并发症入院例数以<44岁组最高,呼吸道疾病入院例数以60岁~74岁组最高,而心脑疾病、消化道疾病入院例数以≥75岁组最高(P<0.001)。糖尿病患者因消化道疾病入院例数明显高于非糖尿病(P=0.028)。(4)死亡患者的住院原因中腹透相关性疾病和心脑疾病分别占31.8%和22.7%,转血液透析患者主要入院原因为腹透相关性疾病和呼吸系统疾病(75.6%和9.8%)。结论:腹透相关性疾病、呼吸系统疾病、心脑血管疾病及消化道疾病是腹透患者住院的主要原因,并易导致不良结局。

Objective:To find out the causes and trends of hospitalization in peritoneal dialysis patients. Methods:Peritoneal dialysis patients in single center were enrolled during ten years follow-up, demographic data and causes of hospitalization were analyzed. Results:(1) During the follow-up 1 172 hospitalization were observed, the average length of stay was 19.34(11,23) days, incidence rate of admissions was 526 per 1 000 person-years.(2)The top reasons for hospitalization were related diseases of peritoneal dialysis(41.7%),respiratory diseases(16.6%), cardio-cerebrovascular diseases(16.0%)and digestive system diseases(10.2%).(3) Peritoneal dialysis related diseases were leading reason caused hospitalization in patients age<44 group. Respiratory diseases were primary reason in age 60 group^74 group. Cardio-cerebrovascular diseases and digestive system diseases were prominent in age≥75 group( P <0.001).Digestive system disease also led to more hospitalization in diabetes mellitus patients than non-diabetes mellitus patients( P =0.028).(4) The reasons caused hospitalization included peritoneal dialysis related diseases and cardio-cerebrovascular diseases (31.8% and 22.7%)in death group. Furthermore, caused transfer to hemodialysis were peritoneal dialysis related diseases and respiratory diseases(75.6% and 9.8%). Conclusion:Peritoneal dialysis related diseases, respiratory diseases, cardio-cerebrovascular diseases and digestive system diseases are main reasons for hospitalization and adverse outcome in peritoneal dialysis patients.