CAJ | 학술논문

目的：对频发腹膜透析相关性腹膜炎的临床特征和危险因素进行分析探讨。方法选取于2011年8月至2015年2月期间在我院接受腹膜透析置管行持续性非卧床腹膜透析的80例尿毒症患者，将1年内发生1次腹膜炎的38例患者作为对照组，将1年内发生多次腹膜炎的42例患者作为观察组。结果观察组患者腹膜炎发生时血压明显升高、水肿患者例数增加、HGB以及ALB显著降低、杆菌+真菌显著增加，并且治疗无效拔管患者显著增加，差异显著，具有统计学意义（P<0.05）。结论频发腹膜透析相关性腹膜炎的危险因素主要有较严重的贫血和低蛋白，要积极治疗患者的贫血和低蛋白血症状才能显著降低腹膜透析相关性腹膜炎的发生情况。
목적：대빈발복막투석상관성복막염적림상특정화위험인소진행분석탐토。방법선취우2011년8월지2015년2월기간재아원접수복막투석치관행지속성비와상복막투석적80례뇨독증환자，장1년내발생1차복막염적38례환자작위대조조，장1년내발생다차복막염적42례환자작위관찰조。결과관찰조환자복막염발생시혈압명현승고、수종환자례수증가、HGB이급ALB현저강저、간균+진균현저증가，병차치료무효발관환자현저증가，차이현저，구유통계학의의（P<0.05）。결론빈발복막투석상관성복막염적위험인소주요유교엄중적빈혈화저단백，요적겁치료환자적빈혈화저단백혈증상재능현저강저복막투석상관성복막염적발생정황。
ABSTRACT:Objective To analyze and study clinical features and risk factors of peritonitis relatedwith frequent peritoneal dialysis.Method choose 80 cases uremia patients received in our hospital during August 2011 and February 2015 treated by continuous peritoneal dialysis out of bed with peritoneal dialysis catheter. 38 cases were selected as control group suffered peritonitis once during 1 year, and 42 cases as observation group suffered peritonitis more than once during 1 year,Result in observation group, blood pressure of patients with peritonitis was significantly higher, and edema patientsincreased, HGB and ALB was significantly decreased, bacillus and fungus increased significantly. And patients of extubation significantly increased for invalid treatment, and the difference was significant with statistical significance (P<0.05).Conclusion:risk factors of peritonitis related with frequent peritoneal dialysis are mainly severe anemia and low protein, so treating anemia and low protein carefully may significantly reduce incidence of peritonitis related with peritoneal dialysis.