终末期肾病腹膜透析患者并发症与休整期相关性分析
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摘要
目的探讨终末期肾病腹膜透析患者并发症与休整期的相关性。方法选取100例终末期肾病腹膜透析患者,根据休整期时间长短分为0～7 d组(n=22)、8～14 d组(n=48)、> 14 d组(n=30)。分析比较三组患者的并发症发生情况。结果 0～7 d组患者发生导管阻塞、导管移位和导管相关感染并发症的发生率高于8～14 d组和> 14 d组(P <0.05);0～7 d组患者发生低血压和出血并发症的发生率高于8～14 d组和> 14 d组(P <0.05)。结论终末期肾病腹膜透析患者过早接受透析可能增加并发症的发生。
Objective To investigate the relationship between complications and rest period in patients with end-stage renal disease peritoneal dialysis.Methods 100 patients with end-stage renal disease peritoneal dialysis were selected according to the length of rest period 0～7 d group(n=22), 8～14 d group(n=48), > 14 d group(n=30). The complication of the three groups of patients was analyzed and compared. Results The incidence of catheter obstruction, catheter displacement and catheter-related infections in 0～7 days group was higher than that in 8～14 days group and > 14 days group(P < 0.05). The incidence of complications of hypotension and hemorrhage in 0～7 days group was higher than that in 8～14 days group and > 14 days group(P < 0.05). Conclusion Premature dialysis in patients with end-stage renal disease peritoneal dialysis may increase complications.
Objective To investigate the relationship between complications and rest period in patients with end-stage renal disease peritoneal dialysis.Methods 100 patients with end-stage renal disease peritoneal dialysis were selected according to the length of rest period 0～7 d group(n=22), 8～14 d group(n=48), > 14 d group(n=30). The complication of the three groups of patients was analyzed and compared. Results The incidence of catheter obstruction, catheter displacement and catheter-related infections in 0～7 days group was higher than that in 8～14 days group and > 14 days group(P < 0.05). The incidence of complications of hypotension and hemorrhage in 0～7 days group was higher than that in 8～14 days group and > 14 days group(P < 0.05). Conclusion Premature dialysis in patients with end-stage renal disease peritoneal dialysis may increase complications.
引文
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[11]刘红梅,杨玉红,马丽.操作环境与腹透置管术后休整期发生腹膜炎的临床观察[J].中国冶金工业医学杂志,2016,33(3):252-253.
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[2]邵旭霞,张萍,姚曦,等. 2008-2013年浙江省新增终末期肾脏病透析患者的人口统计学和原发病变迁[J].中华肾脏病杂志,2016,32(2):106-109.
[3]张文君,王文革,梁耀军,等.甘肃省终末期肾病患者的临床特征和治疗现状[J].中华肾脏病杂志,2015,31(8):567-571.
[4]陈冬平,马熠熠,徐成钢,等.腹膜透析管植入术后休整期与腹透导管相关并发症间关系的临床研究[J].中国中西医结合肾病杂志,2010,11(9):794-796.
[5]吉俊,滕杰,刘中华,等.腹膜透析导管植入手术专家共识[J].上海医学,2018,41(1):1-4.
[6]周清,王君俏,李国民,等.儿童终末期肾病全自动腹膜透析并发症与休整期相关性分析[J].中国循证儿科杂志,2018,13(5):355-358.
[7]郝洁,康艳.腹腔镜下腹膜透析置管患者的护理[J].天津护理,2016,24(2):122-123.
[8]王幼蕾.腹膜透析导管移位影响因素分析[D].杭州:浙江大学,2015:26.
[9]王永红,姜埃利.置管后开始腹膜透析时间对老年终末期肾病患者生存率、肾脏功能及并发症的影响[J].中国老年学杂志,2017,37(14):3580-3582.
[10]姚春瑛,倪桂珍,曲晓璐,等.改良无缝合方式在血液透析临时导管固定中的效果观察[J].护士进修杂志,2016,31(5):459-461.
[11]刘红梅,杨玉红,马丽.操作环境与腹透置管术后休整期发生腹膜炎的临床观察[J].中国冶金工业医学杂志,2016,33(3):252-253.
[12]杨简,陈星华,丁国华.维持性血液透析高血压及其治疗进展[J].中国全科医学,2017,20(6):755-758.