CAJ | 학술논문

分析202例腹膜透析患者透析初期腹膜溶质高转运与透析时合并症的关系以及对患者预后的影响.腹膜溶质高转运患者与其他溶质转运类型患者相比,透析前的合并症比例高,腹膜透析超滤量少,营养状况差,患者累积生存率更低(均P<0.05或0.01);腹膜溶质高转运患者中,有合并症者的累积生存率明显低于无合并症者(P=0.031).提示腹膜溶质转运功能对患者预后的影响可能与透析时的合并症有关.
분석202례복막투석환자투석초기복막용질고전운여투석시합병증적관계이급대환자예후적영향.복막용질고전운환자여기타용질전운류형환자상비,투석전적합병증비례고,복막투석초려량소,영양상황차,환자루적생존솔경저(균P<0.05혹0.01);복막용질고전운환자중,유합병증자적루적생존솔명현저우무합병증자(P=0.031).제시복막용질전운공능대환자예후적영향가능여투석시적합병증유관.
To investigate association between prognosis of patients of peritoneal dialysis with their initial high peritoneal solute transport and complications. Two hundred and two patients with end-stage renal disease who began peritoneal dialysis during September 1,2006 to September 1, 2008 at Peking University Third Hospital, Beijing were recruited in the study. They were undergone peritoneal equilibration test within six weeks after initiating peritoneal dialysis, and their types of peritoneal solute transport, complications,nutrition status and outcomes were all recorded until August 31,2010. Their survival rate was estimated by Kaplan-Meier method. Compare to those with other types of solute transport, patients with high peritoneal solute transport showed higher proportion of complications ( P < 0. 05 ) during dialysis, but less ultrafiltration function ( P < 0. 05 ), worse nutrition status ( P < 0. 05 ) and lower cumulative survival rate ( P < 0. 01 ).Among patients with high peritoneal solute transport, cumulative survival rate in those with complication was lower than those without it ( P = 0. 031 ). Prognosis of patients with high peritoneal solute transport possibly varies with their complications in dialysis.