CAJ | 학술논문

腹膜透析是终末期肾脏病的有效替代治疗方法之一。2012年4月，河南省对包括慢性肾衰竭在内的六种疾病的新农合报销比例做出重大调整，腹透患者主要经济花费的透析液报销比例由原来的40％提高至80％。通过研究新农合制度调整前后豫北地区腹膜透析患者的临床资料，报告了制度调整后的患者透析充分性提高，贫血、营养状况较前好转，心血管疾病发生率下降，生存质量改善的现况，论证了老龄、糖尿病、营养不良、心血管疾病、透析不充分、较低的医疗保险支付比例是影响腹膜透析患者预后的重要因素，为腹膜透析患者的预后分析提供了理论依据。
복막투석시종말기신장병적유효체대치료방법지일。2012년4월，하남성대포괄만성신쇠갈재내적륙충질병적신농합보소비례주출중대조정，복투환자주요경제화비적투석액보소비례유원래적40％제고지80％。통과연구신농합제도조정전후예북지구복막투석환자적림상자료，보고료제도조정후적환자투석충분성제고，빈혈、영양상황교전호전，심혈관질병발생솔하강，생존질량개선적현황，론증료노령、당뇨병、영양불량、심혈관질병、투석불충분、교저적의료보험지부비례시영향복막투석환자예후적중요인소，위복막투석환자적예후분석제공료이론의거。
Peritoneal dialysis (PD ) is one of renal replacement therapeutics for patients with end-stage renal disease (ESRD) .In April 2012 ,a major adjustment was made in Henan province for six kinds of diseases ,including chronic renal failure ,dialysis fluid eimbursement ratio ,the main economic cost to peritoneal dialysis patients ,were enhanced from 40%to 80% .By studying clinical data of peritoneal dialysis patients in northern Henan before and after new rural cooperative medical care system adjusted ,we reported the current situation that after new system was adjusted ,dialysis adequacy of PD patients was increased ,anemia and malnutrition improved ,the incidence of cardiovascular disease reduced ,and the quality of life improved , demonstrated that older age , diabetes , malnutrition , cardiovascular disease , insufficient peritoneal dialysis and lower proportion of medical insurance payment were the important risk factors to affecting the prognosis of PD patients ,provided a theoretical basis for peritoneal dialysis patients'prognosis analysis .