摘要
目的分析老年连续性非卧床腹膜透析患者的临床资料，探讨老年腹透患者发生腹透相关性腹膜炎的影响因素。方法回顾性分析上海市第一人民医院松江分院肾内科自2003年1月至2009年5月行连续性非卧床腹膜透析患者70例，分为两组：A组年龄≥60岁，48例，B组年龄〈60岁，22例；比较两组的平均年龄、平均腹透龄、文化程度、血浆白蛋白、札红蛋白、腹膜炎的致病菌及合并其他脏器感染、合并心衰并发症的病例数；比较两组的平均住院日、死亡率、分析腹膜炎发生的影响因素。结果A组老年组文化水平偏低（P〈0．01），血浆白蛋白及血红蛋白较低，腹透龄较B组缩短，但无统计学意义。A组腹膜炎的发生率明显增加，致病菌组成无差异，并发感染、心哀较多，死产病例增加，且有统计学意义（P〈0．05）。结论老年连续性非卧床腹膜透析患者腹膜炎的发生率高，合并症多，致平均住院日延长，死产病例增加。
Objective To study the factors involved in the peritonitis relating to the elderly patients treated with continuous ambulatory peritoneal dialysis via analyzing the clinical data. Methods The 70 elderly patients treated with continuous ambulatory peritoneal dialysis in Songjiang hospital from January 2003 to May 2009 were divided into two groups： group A （48 patients, ≥ 60 years） and group B （22 patients, 〈 60 years）. The related factors for the peritonitis were analyzed by comparing the average ages, average peritoneal dialysis years, educational level, plasma albumin, hemoglobin, pathogens, incidence of peritonitis, other infection, cardiovascular complications, average length of stay and mortality between the two groups. Results Group A had lower educational level （P〈0.01）. Group A had shorter peritoneal dialysis years than group B. The plasma albumin as well as hemoglobin of Group A were lower than group B, but there was no statistical significance. There was no difference in pathogens. There was obvious increase in other infection, cardiovascular complications and mortality （P 〈 0.05 ）. Conclusion There were higher incidence of peritonitis, prolonged average length of stay and increased dead risks for the elderly patient treated with continuous ambulatory peritoneal dialysis.
出处
《老年医学与保健》
CAS
2010年第2期97-99,共3页
Geriatrics & Health Care
关键词
老年患者
持续性非卧床腹膜透析
腹膜炎
Elderly patient
Continuous ambulatory peritoneal dialysis
Peritonitis
