自动化腹膜透析与人工腹膜透析治疗在肾病内科患者中的应用效果比较  

Comparison of application effect of automated peritoneal dialysis and artificial peritoneal dialysis in nephropathy patients

作　　者：罗丽琼[1] 赵健秋[1] 余芳芳[1] 袁静[1] 查艳[1] LUO Liqiong;ZHAO Jianqiu;YU Fangfang;YUAN Jing;ZHA Yan(Department of Nephrology,Guizhou Provincial People's Hospital,Guizhou Province,Guiyang 550002,China)

机构地区：[1]贵州省人民医院肾内科,贵州贵阳550002

出　　处：《中国当代医药》2023年第1期108-111,共4页China Modern Medicine

基　　金：贵州省科技支撑计划项目(黔科合支撑[2019]2801号);贵州省肾脏病临床医学研究中心(黔科合平台人才[2020]2201号);贵州省高层次创新人才项目(黔科合平台人才[2018]5636)。

摘　　要：目的比较自动化腹膜透析与人工腹膜透析治疗在肾病内科患者中的效果。方法回顾性选取2018年12月至2019年12月贵州省人民医院肾内科收治的200例进行腹膜透析的患者,按照不同透析方式的不同分为常规组与研究组,每组100例。常规组选择人工腹膜透析治疗,研究组选择自动化腹膜透析治疗。分析两组的白蛋白、血钙、血红蛋白、血尿酸水平及不良事件发生率、生活质量评分、腹膜炎发生率、治疗满意度。结果研究组的白蛋白、血钙、血红蛋白、血尿酸水平高于常规组,差异有统计学意义(P<0.05);研究组的不良事件发生率低于常规组,差异有统计学意义(P<0.05);治疗后3、6个月,研究组的生理健康、心理状态、物质生活、社会关系评分高于常规组,差异有统计学意义(P<0.05);研究组的腹膜炎发生率低于常规组,差异有统计学意义(P<0.05);研究组的治疗总满意度高于常规组,差异有统计学意义(P<0.05)。结论自动化腹膜透析在肾病内科患者治疗中的效果更加显著,安全性更高,能够有效减少腹膜炎的发生,值得推广。Objective To explore the application effect of automated peritoneal dialysis and artificial peritoneal dialysis in nephropathy patients.Methods A total of 200 patients undergoing peritoneal dialysis in Department of Nephrology of Guizhou Provincial People's Hospital from December 2018 to December 2019 were selected retrospectively,and divided into the routine group and the research group according to different dialysis methods,with 100 patients in each group.The routine group was treated with artificial peritoneal dialysis,while the research group was treated with automatic peritoneal dialysis.The levels of albumin,blood calcium,hemoglobin,blood uric acid,and the incidence of adverse events,quality of life score,the incidence of peritonitis and treatment satisfaction of the two groups were analyzed.Results The levels of albumin,blood calcium,hemoglobin and uric acid in the research group were higher than those in the routine group,with statistical significance(P<0.05).The incidence of adverse events in the research group was significantly lower than that in the routine group,and the difference was statistically significant(P<0.05).After three and six months of treatment,the scores of physical health,psychological state,material life and social relations in the research group were higher than those in the routine group,and the differences were statistically significant(P<0.05).The incidence of peritonitis in the study group was significantly lower than that in the routine group,and the difference was statistically significant(P<0.05).The total satisfaction degree of treatment in the study group was significantly higher than that in the routine group,with statistical significance(P<0.05).Conclusion Automatic peritoneal dialysis is more effective and safer in the treatment of patients in nephrology department,which can effectively reduce the occurrence of peritonitis and is worth promoting.

关 键 词：肾病内科 自动化腹膜透析 人工腹膜透析 腹膜炎发生率 

分 类 号：R459.5[医药卫生—治疗学]