尿毒症患者选择自动化腹膜透析模式的影响因素研究进展

Factors influencing the choice of automated peritoneal dialysis mode in uremic patients:a literature review

自动化腹膜透析(automated peritoneal dialysis,APD)较持续非卧床腹膜透析(continuous ambulatory peritoneal dialysis,CAPD)具有一定的优越性。APD在发达国家被广泛使用,而在我国APD的发展相对较慢。本文从医疗因素,社会经济因素,个人因素,及家庭因素等方面对影响尿毒症患者选择APD透析模式的因素进行综述。旨在为尿毒症患者和相关医务人员透析模式的选择,国家医疗保险政策的调整,及社会支持体系的发展提供借鉴。促进APD的发展与进步,使得患者能够获得更好更合适的透析治疗,促进患者早日回归社会,提高生活质量。

Automated peritoneal dialysis(APD)is considered to be advantageous over continuous ambulatory peritoneal dialysis(CAPD).APD is widely used in developed countries,but the development of APD is relatively slow in China.This article reviews the factors influencing the use of APD mode in uremic patients from the aspects of medical,socio-economic,personal and family factors,in order to provide an alternative dialysis modality for uremic patients and medical staff,the information about the adjustment of national medical insurance policy,and the necessity of a social support system.The development and progress of APD will give uremic patients a better and more appropriate dialysis option,facilitating to return to society and to have a higher quality of life.