慢性肾病维持性血透和腹膜透析患者病情和并发症状况的对比

Comparative Study of the Situation and Complications of Hemodialysis and Peritoneal Dialysis in Patients with Chronic Kidney Disease

目的通过随机对照研究的方式探究慢性肾病维持性血透和腹膜透析患者的病情和并发症状况。方法本研究纳入了2012年6月-2016年6月期间洛阳市中心医院收治的200例慢性肾病患者。研究首先将患者随机分为血透组和腹膜透析组,每组100例。之后血透组患者采用血液透析,而腹膜透析组采用常规护理,最后比较两组透析前后BUN、Ca、ALB等指标和并发症情况。结果血透组患者护理前后的两组组内透析前后BUN、Ca、ALB等指标有显著性差异(P<0.05),而较血透组与腹膜透析组患者两组组间差异没有统计学意义(P>0.05)。血透组的血压异常、心律失常的并发症发生率比腹透组高;而腹透组的腹膜炎和透析感染的发病率比血透组高,差异有统计学意义(P<0.05)。结论两种透析方式互为补充、各有利弊,应根据患者具体情况选择最佳透析方式。

Objective To explore the situation and complications of hemodialysis and peritoneal dialysis in patients with chronic kidney disease. Methods 200 cases of patients with chronic kidney disease from June, 2008 to June, 2013 in the hospital were included in the study. They were divided into hemodialysis group and peritoneal dialysis group, with 100 cases in each group. Patients in the hemodialysis group were given hemodialysis while patients in the peritoneal dialysis group were given peritoneal dialysis treatment. All clinical statics and the major indicators, such as BUN, Ca, ALB and complications, were compared in the end.Results The preoperative and postoperative major indicators were significantly different from each other in hemodialysis group(P<0.05),while there was no statistical significance in those indicators of patients in hemodialysis group and patients in peritoneal dialysis group has(P>0.05). Hemodialysis group has more abnormal blood pressure,cardiac arrhythmia complication rates than the other group. However,the infection rate in peritoneal group is higher than the hemodialysis group(P<0.05). Conclusion The two types of dialysis complement each other, and have advantages and disadvantages. Doctors should choose the best way for different patients based on their personal characteristics.