佛山地区腹膜透析状况与部分发达国家或地区的对比分析

Comparison of the current status of peritoneal dialysis between Foshan and other relatively de-veloped countries or areas

目的调查佛山市第一人民医院腹膜透析(PD)患者的现状,提高PD治疗和管理水平.方法选取本院近5年来植入PD导管进行PD治疗大于3个月的患者178例作为研究对象,收集临床资料进行统计分析,再与其他部分发达国家或地区腹透中心资料进行比较.结果本院PD患者与发达国家及地区相比,以年轻患者为主,平均年龄50.1岁,男性患者占48.9%,女性患者占51.1%;原发病以慢性肾炎为主,占比54.5%;腹膜炎发生率较低,平均感染月为56/病人月,感染病原菌以革兰阳性球菌为主,占40.9%;高血压患者占42.5%,血红蛋白≤110g/L共94例(占52.8%),血清白蛋白≤35g/L共37例(占21%),钙磷代谢异常共92例(占51.5%),Kt/V>2.0mmol/L占59.7%,腹膜平衡试验(PET)统计示高平均转运为主(49.4%).结论本中心腹透患者与发达国家或地区有明显不同.

Objective To investigate the current status of peritoneal dialysis ( PD) patients in the hospital and to improve the treatment and management of PD. Methods Data of 178 patients un-dergoing PD were retrospectively analyzed,who underwent dialysis more than three months in five years and then compared with those from other relatively developed countries or areas. Results Compared with other relatively developed countries or areas,the PD patients were younger,the average age was 50. 1 years,and the male patients accounted for 48. 9%, the female patients accounted for 51. 1%. The primary disease was chronic nephritis(54. 5%),the incidence of peritonitis was lower(1 person/56 months),the pathogenic bacteria was mainly Gram-positive bacteria, accounting for 40. 9%. There were 94 cases of erythroprotein less than 110 g/L(52. 8%),37 cases of serum protein less than 35 g/L(21%),92 cases of calcium and phosphorus metabolism abnormality(51. 5%), and 59. 7% PD pa-tients were KT/V>2. 0 mmol/L,and peritoneal equilibration test(PET) showed high average tran-shipment accounted for 49. 4%. Conclusions The patients with PD in our center are significantly dif-ferent from those in developed countries or regions.