不同随访方法降低腹膜透析相关性腹膜炎发生的应用效果分析  

Application of peritoneal dialysis routine examination in reducing peritonitis associated with peritoneal dialysis

作　　者：江燕开 汤嘉敏[1] 谢慧敏 黄婉莹 黄丽秋[1] 凌晨 张云芳[1] Jiang Yankai;Tang Jiamin;Xie Huimin;Huang Wanying;Huang Liqiu;Ling Chen;Zhang Yunfang(Department of Nephrology,the People's Hospital of Huadu District,Guangzhou,Guangdong 510800,China)

机构地区：[1]广州市花都区人民医院肾病学科,510800

出　　处：《中国基层医药》2020年第16期1957-1960,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省广州市医学重点学科建设项目(2017-2019年);广东省广州市花都区科技项目(18-HDWS-059)。

摘　　要：目的探讨不同随访方法在降低腹膜透析相关性腹膜炎发生中的应用效果。方法选取2018年7月至2019年6月在广州市花都区人民医院肾病学科长期规律随访的腹膜透析患者191例为研究对象,采用方便抽样方法,将周二门诊随访患者分为对照组95例,周四固定门诊随访的患者分为观察组96例。对照组常规随访,观察组随访时进行腹透液常规检查,发现肉眼可见问题及检验结果异常立刻干预,比较两组腹膜炎发生率。结果对照组发生腹膜炎24例,发生率为25.26%;观察组发生腹膜炎9例,发生率为9.38%。观察组腹膜炎发生率低于对照组,差异有统计学意义(χ^2=5.972,P<0.05)。结论腹膜透析相关性腹膜炎的发生与多种因素有关,重视腹透液常规检查和观察腹透液颜色,强化无菌换液操作,对患者的追踪随访,能够有效减少腹膜炎的发生,提高患者的透析质量。Objective To explore the application of peritoneal dialysis routine examination in reducing the incidence of peritonitis associated with peritoneal dialysis.Methods From July 2018 to June 2019,191 patients with peritoneal dialysis who were followed up regularly in the nephrology department were selected as the study subjects.Using convenient sampling method,outpatient follow-up on Tuesday were selected as control group(95 cases)and fixed outpatient follow-up on Thursday were selected as observation group(96 cases).Routine follow-up was performed in the control group,and routine examination of peritonitis was performed in the observation group during the follow-up.Intervention was given immediately when the problems were found to the naked eye and the examination results were abnormal.The incidence of peritonitis in the two groups was compared.Results Peritonitis occurred in 24 cases in the control group(25.26%),and 9 cases in the observation group(9.38%).The incidence of peritonitis in the observation group was lower than that in the control group,and the difference was statistically significant(χ^2=5.972,P<0.05).Conclusion The occurrence of peritoneal dialysis-related peritonitis is related to a variety of factors.Paying attention to the routine examination of peritonitis and observing the color of peritonitis,strengthening the aseptic fluid exchange operation,and following up the patients can effectively reduce the occurrence of peritonitis and improve the quality of dialysis.

关 键 词：腹膜透析 腹膜炎 随访研究 腹透液常规检查 危机干预 对比研究 

分 类 号：R572.2[医药卫生—消化系统]