CAJ | 학술논문

目的分析血液透析转腹膜透析的原因并探讨影响其预后的因素.方法调查2005年2月至2009年10月在本中心由血液透析转腹膜透析的连续性不卧床腹膜透析患者.以COX回归法分析影响患者死亡预后的因素.结果 21例转腹膜透析患者中血管通路条件不佳者16例.糖尿病患者平均存活时间短,低蛋白血症影响患者预后(P=0.001).结论血液透析转腹膜透析的主要原因是血管通路条件不佳.糖尿病肾病患者预后较非糖尿病患者差.低蛋白血症的患者提示预后不良.
목적 분석혈액투석전복막투석적원인병탐토영향기예후적인소.방법 조사2005년2월지2009년10월재본중심유혈액투석전복막투석적련속성불와상복막투석환자.이COX회귀법분석영향환자사망예후적인소.결과 21례전복막투석환자중혈관통로조건불가자16례.당뇨병환자평균존활시간단,저단백혈증영향환자예후(P=0.001).결론 혈액투석전복막투석적주요원인시혈관통로조건불가.당뇨병신병환자예후교비당뇨병환자차.저단백혈증적환자제시예후불량.
Objective To analyze the causes and prognosis of patients transferring from hemodialysis to peritoneal dialysis. Methods We retrospectively investigated the causes and prognosis of transferring from hemodialysis to peritoneal dialysis in patients between Feb. 2005 and Oct. 2009. Results 21 peritoneal dialysis patients were recruited for analysis. The maior reasons for the transfer were the poor hemodialysis vascular access and the unstable of cardiovascular system. 7 patients were died. Diabetic patients and Hypoproteinemia had worse prognosis. Conclusion The main causes of transferring to peritoneal dialysis were poor hemodialysis vascular access and the unstable of cardiovascular system. Patients with diabetic nephropathy and mal nutrition have worse prognosis.