CAPD合并腹膜炎的影响因素分析.pdf

文章编号：1001—5949(2009)06—0513—02 ·论著· CAPD合并腹膜炎的影响因素分析 王芳1，陈孟华2 [摘要] 目的 探讨持续性不卧床腹膜透析(CAPD)患者并发腹膜炎的影响因素。方法通过对118例行 CAPD治疗的终末期肾脏病(ESRD)患者的随访和病例资料的分析，分别按原发病类型、文化程度、SGA评分、透析 龄分组，观察不同组别中腹膜炎的发生率。结果①与文化程度高中以上组比较，高中以下组的腹膜炎发生率明 显升高(1次／111病人月：1次／50病人月)，差异有统计学意义(P0．05)；②与营养良好组比较，营养不良组的腹 组比较，透析龄12个月以下的患者腹膜炎发生率明显升高(1次／77病人月：1次／56病人月)，差异有统计学意义 (P0．05)；④与非糖尿病组比较，糖尿病组患者腹膜炎的发生率有升高的趋势(1次／83病人月：1次／63病人月)， 但两组间差异无统计学意义(P0．05)。结论文化程度、SGA评分和透析龄是CAPD患者并发腹膜炎的影响 因素。 [关键词] 腹膜透析；腹膜炎 R656．4 [中图分类号]R459．5 [文献标识码]A Title offactorsonCAPDrelated Analysis peritonitis WANG Affiliated of Medical Fang，CHENMeng—hua．(TheHospitalNingxia University，Yinehuan750004，China) To therelevantfactorsof in continuous di· [Abstract]Objective investigate peritonitispatientsreceiving ambulatoryperitoneal We Nutritionalstatusand dataof withCAPDin alysis(CAPD)．Methodsretrospectivelyanalyzed laboratoryperitonitiscomplicated 118 wereadmittedtoDivisionof of Medical from2003to ca$es，who Nephrology，AffiliatedHospitalNingxia University 2008，groups weredivided disease scoreand theincidenceof ineach byprimary type，educationlevel，SGA dialytictime．Analysed peritonitisgroup． incidenceof ofloweducationalattainmentwag thanthatof educated，the Results④peritonitispatients significantlyhigher Highly differencehasstatistical Wag incidenceofmalnutrition thanwell— significance(P0．05)；②theperitonitis groupsignificantlyhigher with