比较经皮穿刺腹膜透析置管术与传统腹膜透析置管术的临床应用效果

Comparison of the Clinical Application Effect of Percutaneous Peritoneal Dialysis Catheterization and Traditional Peritoneal Dialysis Catheterization

目的探讨经皮穿刺腹膜透析置管术与传统腹膜透析置管术的临床应用效果。方法随机选取该院2019年1月—2020年1月收治的行腹膜透析手术治疗的患者共80例,采用随机分组的方式,将患者分为对照组以及研究组,对照组接受传统的腹膜透析置管术,研究组接受经皮穿刺腹膜透析置管术,对比两组患者的疗效。结果研究组的切口长度(1.37±0.41)cm、置管时间(0.59±0.16)h、术中出血量(5.94±2.44)mL、腹膜透析时间(25.48±1.83)h优于对照组切口长度(4.81±0.33)cm、置管时间(1.56±0.52)h、术中出血量(8.84±1.94)mL、腹膜透析时间(37.93±1.23)h,差异有统计学意义(t=41.337、11.276、5.883、35.710,P<0.05)。手术后VAS评分对比,研究组术后1 d(4.24±0.33)分、2 d(3.14±0.33)分、3 d(2.11±0.05)分、5 d(1.22±0.06)分均低于对照组术后1 d(5.45±0.11)分、2 d(4.57±0.42)分、3 d(3.72±0.44)分、5 d(2.84±0.44)分,差异有统计学意义(t=22.000、16.932、22.994、23.072,P<0.05)。研究组相关并发症总发生率(2.50%)低于对照组(20.00%),差异有统计学意义(χ^(2)=4.507,P<0.05)。结论与传统腹膜透析置管术相比,经皮穿刺腹膜透析置管术操作更为简便,并发症发生率更低。

Objective To explore the clinical application effects of percutaneous peritoneal dialysis catheter placement and traditional peritoneal dialysis catheter placement.Methods A total of 80 patients undergoing peritoneal dialysis surgery in the hospital from January 2019 to January 2020 were randomly selected.The patients were randomly divided into a control group and a study group.The control group received traditional peritoneal dialysis tube surgery,the study group received percutaneous peritoneal dialysis catheter placement to compare the efficacy of the two groups of patients.Results The incision length(1.37±0.41)cm,catheter placement time(0.59±0.16)h,intraoperative blood loss(5.94±2.44)mL,and peritoneal dialysis time(25.48±1.83)h in the study group were lower than the incision length in the control group(4.81±0.33)cm,catheter placement time(1.56±0.52)h,intraoperative blood loss(8.84±1.94)mL,peritoneal dialysis time(37.93±1.23)h,the data difference was statistically significant(t=41.337,11.276,5.883,35.710,P<0.05).Comparison of VAS scores after surgery,the study group 1 d(4.24±0.33)points,2 d(3.14±0.33)points,3 d(2.11±0.05)points,5 d(1.22±0.06)points were lower than those of the control group 1 d(5.45±0.11)points,2 d(4.57±0.42)points,3 d(3.72±0.44)points,5 d(2.84±0.44)points,the data difference was statistically significant(t=22.000,16.932,22.994,23.072,P<0.05).The total incidence of related complications in the study group(2.50%)was lower than that in the control group(20.00%),the data difference was statistically significant(χ^(2)=4.507,P<0.05).Conclusion Compared with traditional peritoneal dialysis catheterization,percutaneous peritoneal dialysis catheterization is easier to operate and has a lower incidence of complications.