CAJ | 학술논문

目的比较Tenckhoff直管与卷曲管在维持性腹膜透析患者中的临床疗效.方法对行腹膜透析置管术的133例成人慢性肾衰竭病例进行回顾性分析,根据其所使用的腹透置管类型不同,将患者分为末端直管组(68例)和卷曲管组(65例)两组,统计其腹膜透析引流速度、并发症、生存时间、退出透析或死亡等结局并进行比较.结果两组患者腹膜透析的隧道口感染率、腹膜透析液引流速度、生存时间等无差别(P＞0.05).术后2周内导管移位共5例,其中卷曲管4例,直管1例,两组比较有统计学意义(P＜0.05).入液时疼痛,直管组7例,卷曲管组1例,两组比较有统计学意义(P＜0.05).结论 Tenckhoff直管与卷曲管均适用于CAPD患者,各有优缺点,建议个体化选择腹膜透析用管.
목적 비교Tenckhoff직관여권곡관재유지성복막투석환자중적림상료효.방법 대행복막투석치관술적133례성인만성신쇠갈병례진행회고성분석,근거기소사용적복투치관류형불동,장환자분위말단직관조(68례)화권곡관조(65례)량조,통계기복막투석인류속도、병발증、생존시간、퇴출투석혹사망등결국병진행비교.결과 량조환자복막투석적수도구감염솔、복막투석액인류속도、생존시간등무차별(P＞0.05).술후2주내도관이위공5례,기중권곡관4례,직관1례,량조비교유통계학의의(P＜0.05).입액시동통,직관조7례,권곡관조1례,량조비교유통계학의의(P＜0.05).결론 Tenckhoff직관여권곡관균괄용우CAPD환자,각유우결점,건의개체화선택복막투석용관.
Objectives To compare the efficacy between the straight and coiled Tenckhoff catheters in continuous ambulatory peritoneal dialysis (CAPD) patients with end-stage reneal disease (ESRD) for the development of peritoneal dialysis.Methods The 133 cases with adult chronic renal failure patients on PD were retrospective analyzed,according to the different dialysis catheter,derided into straight and coiled group.Compare their out flow rate of dialysate,complications,survival times,quit of dialysis or death,ect.Results There were no differences in infection rate at tunnel exitsite,flow rate of dialysate drainage and survival time between the two groups(P ＞ 0.05).Catheter migration occurred in 5 patients in 2 weeks after surgery,coiled 4 and straight 1 (P ＜ 0.05).Pain in 8 cases in pouring into the liquid,straight 7 and coined 1 (P ＜ 0.05).Conclusions The straight and coiled Tenckhoff catheters are suitable for continuous ambulatory peritoneal dialysis (CAPD) patients.Catheter selection according to the individual condition.