腹透导管应用现状及导管相关并发症的干预对策  

Current status of application of peritoneal catheter and intervention measures for catheter-related complications

作　　者：杨洪涛[1] 

机构地区：[1]天津中医药大学第一附属医院肾内科,300193

出　　处：《中华肾病研究电子杂志》2015年第3期32-36,共5页Chinese Journal of Kidney Disease Investigation（Electronic Edition）

摘　　要：功能良好的腹膜透析(PD)导管是PD成功进行的保证;导管并发症是PD患者转至血液透析的主要原因,甚至影响PD的普及和发展。导管不同的cuff数量、不同的皮下隧道段及腹腔内段形状、置入术式等因素均可影响导管功能,进而决定导管存活甚至患者的临床结局。该文回顾了国内外相关的循证医学研究,并结合作者本单位的经验介绍了PD导管相关并发症的危险因素及防范、控制方法,同时推荐了切实可行的导管非感染性并发症的中西医结合干预方式,以提高导管存活率,改善PD患者预后。The well-behaved peritoneal catheter guarantees the success of peritoneal dialysis （PD）. Catheter complications are the common and important reasons why PD patients drop out of treatment and transfer to hemodialysis, and can even affect further popularity and development of PD. With the optimization of catheter technology in the recent years, there are several configurations of PD catheter design that may impact on catheter function, and thus determine the catheter survival and clinical outcome of patients, such as the number of cuffs, the shape of the intraperitoneal segment, and the subcutaneous configuration. Based on relevant evidence-based medicine studies and all the catheter-related risk factors that could be prevented and controlled with or without technology, this article is supposed to explore and spread use of combined interventions of traditional Chinese medicine and western medicine to treat non-infectious complications, in order that the catheter survival will be enhanced and the outcome of PD patients will be improved.

关 键 词：腹膜透析导管 置管术 并发症 治疗 

分 类 号：R459.5[医药卫生—治疗学]