新管理模式下腹膜透析病人的随访和生存情况分析  

Follow-up and outcomes among peritoneal dialysis out-patient in the peritoneal dialysis managed care

作　　者：王学梅[1] 唐雯[2] 方积乾[3] 汪涛[2] 

机构地区：[1]内蒙古医学院预防医学系,内蒙古呼和浩特010059 [2]北京大学第三医院,北京100083 [3]中山大学公共卫生学院流行病与卫生统计学教研室,广东广州510080

出　　处：《中国医院管理》2008年第11期27-29,共3页Chinese Hospital Management

基　　金：教育部长江学者奖励计划;教育部教育振兴行动计划专项基金(985工程-36-1)

摘　　要：目的探讨腹膜透析病人门诊随访管理对生存的影响。方法回顾性分析比较腹膜透析中心144例随访达标的病人和209例随访未达标病人的生存状况以及对影响病人随访达标的因素进行分析。结果随访未达标病人的死亡风险是随访达标病人的3.691倍(P<0.001)。活动能力差的病人,没有医疗保障的病人,外地的病人随访情况较差。结论加强腹膜透析的门诊管理,提高透析病人的随访率是改善腹膜透析病人生存的关键。Objective To investigate the effect of out-patients＇ follow-up on outcome in peritoneal dialysis. Methods A retrospective analysis was performed to compare outcomes between 144 patient who were followed up regularly and 209 not regularly andto identify the independent factors influencing follow up in peritoneal dialysis patient. Results The death hazard risk in patients who were not followed up regularly Was significantly higher than those were followed up regularly（3.691, P〈0.001）. Activity and medical care assurance were independent factor predicting patients＇ followed-up. Conclusion The result suggested that efforts to redUce morality in this population should be focused on the outpatient management to improve fo low-up in peritoneal dialysis.

关 键 词：终末期肾病 腹膜透析 生存分析 

分 类 号：R459.5[医药卫生—治疗学]