置管后開始腹膜透析時間對老年終末期腎病患者生存率、腎臟功能及并發(fā)癥的影響
發(fā)布時間：2018-08-06 09:58
【摘要】：目的探討置管后開始腹膜透析時間對老年終末期腎病(ESRD)患者生存率、腎臟功能及并發(fā)癥的影響。方法接受腹膜透析ESRD患者106例依置管后開始透析時間分為兩組,早期組36例置管后1~5 d開始透析,晚期組70例置管后1~2 w開始透析,均隨訪2年,觀察兩組腎功能指標(biāo)變化,隨訪期間并發(fā)癥發(fā)生情況、死亡情況及生存質(zhì)量。結(jié)果兩組治療前腎功能指標(biāo)差異無統(tǒng)計學(xué)意義(P0.05)。早期組治療后5、30 d腎功能指標(biāo)均低于同組治療前及晚期組(P0.05)。兩組治療前生活質(zhì)量評定量表(SF-36)各項(xiàng)指標(biāo)差異無統(tǒng)計學(xué)意義(P0.05),早期組治療后1、3個月各項(xiàng)指標(biāo)評分均高于同組治療前及晚期組同期(P0.05)。隨訪2年,早期組新增心血管、腦血管、感染、出血并發(fā)癥發(fā)生率及死亡率均低于晚期組(P0.05)。結(jié)論老年ESRD患者置管后早期進(jìn)行腹膜透析,可延長生存期、降低置管后并發(fā)癥、提高生存質(zhì)量。
[Abstract]:Objective to investigate the effect of peritoneal dialysis time after catheter placement on survival rate, renal function and complications in elderly patients with end stage renal disease (ESRD). Methods 106 patients with ESRD undergoing peritoneal dialysis were divided into two groups according to the time of dialysis. 36 patients in the early group began dialysis at 1 and 5 days after catheterization, and 70 patients in the late group began dialysis at 1 and 2 weeks after catheterization. All patients were followed up for 2 years to observe the changes of renal function in both groups. Complications, mortality and quality of life were observed during follow-up. Results there was no significant difference in renal function between the two groups before treatment (P0.05). The indexes of renal function in the early group were lower than those in the same group before and after treatment (P0.05). The quality of life rating scale (SF-36) had no significant difference between the two groups before treatment (P0.05). The scores of each index in the early group were higher than those in the same group before and after treatment (P0.05). 3 months after treatment, the scores of each index in the early group were higher than those in the same group (P0.05). After 2 years follow-up, the incidence of cardiovascular, cerebrovascular, infection, bleeding complications and mortality in the early group were lower than those in the late group (P0.05). Conclusion Peritoneal dialysis can prolong survival, reduce complications and improve quality of life in elderly patients with ESRD.
【作者單位】： 天津醫(yī)科大學(xué)第二醫(yī)院;
【分類號】：R692.5
[Abstract]:Objective to investigate the effect of peritoneal dialysis time after catheter placement on survival rate, renal function and complications in elderly patients with end stage renal disease (ESRD). Methods 106 patients with ESRD undergoing peritoneal dialysis were divided into two groups according to the time of dialysis. 36 patients in the early group began dialysis at 1 and 5 days after catheterization, and 70 patients in the late group began dialysis at 1 and 2 weeks after catheterization. All patients were followed up for 2 years to observe the changes of renal function in both groups. Complications, mortality and quality of life were observed during follow-up. Results there was no significant difference in renal function between the two groups before treatment (P0.05). The indexes of renal function in the early group were lower than those in the same group before and after treatment (P0.05). The quality of life rating scale (SF-36) had no significant difference between the two groups before treatment (P0.05). The scores of each index in the early group were higher than those in the same group before and after treatment (P0.05). 3 months after treatment, the scores of each index in the early group were higher than those in the same group (P0.05). After 2 years follow-up, the incidence of cardiovascular, cerebrovascular, infection, bleeding complications and mortality in the early group were lower than those in the late group (P0.05). Conclusion Peritoneal dialysis can prolong survival, reduce complications and improve quality of life in elderly patients with ESRD.
【作者單位】： 天津醫(yī)科大學(xué)第二醫(yī)院;
【分類號】：R692.5
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 李義亮;杜秀云;阿里木;克力木·阿不都熱依木;王志;李贊林;尹興瑞;李慧靈;蘇福增;丁偉;;腹腔鏡下腹膜透析置管術(shù)的臨床應(yīng)用[J];臨床外科雜志;2017年01期
2 許琴;趙燁;徐煜;曹娟;高s，
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