CAJ | 학술논문

目的探讨腹膜透析相关性腹膜炎的致病原因及影响因素.方法回顾性分析2012年4月至2014年11月我院肾病科收治的40例腹膜透析相关性腹膜炎患者的临床资料,从患者的性别、年龄、发病季节、透析龄、发病原因及医疗保险类型、预后等方面进行分析,并总结致病菌种类.结果 40例患者共发生51例次腹膜炎,治愈31例(77.50%),腹膜透析退出率为22.50%;女性明显多于男性;透析龄1年以上的患者占多数(84.31%);城区医疗保险的患者(77.50%)多于农村合作医疗的患者(22.50%);腹膜炎的发生受季节影响不大;发病原因主要为操作不规范(41.18%);致病菌以表皮葡萄球菌(63.64%)多见;真菌性腹膜炎患者的腹膜透析退出率为100%.结论腹膜透析相关性腹膜炎的发病与性别、透析龄等因素相关,多因操作不当所致,在患者的随访过程中,应加强对患者操作技术以及腹膜炎防治相关知识的再培训.
목적 탐토복막투석상관성복막염적치병원인급영향인소.방법 회고성분석2012년4월지2014년11월아원신병과수치적40례복막투석상관성복막염환자적림상자료,종환자적성별、년령、발병계절、투석령、발병원인급의료보험류형、예후등방면진행분석,병총결치병균충류.결과 40례환자공발생51례차복막염,치유31례(77.50%),복막투석퇴출솔위22.50%;녀성명현다우남성;투석령1년이상적환자점다수(84.31%);성구의료보험적환자(77.50%)다우농촌합작의료적환자(22.50%);복막염적발생수계절영향불대;발병원인주요위조작불규범(41.18%);치병균이표피포도구균(63.64%)다견;진균성복막염환자적복막투석퇴출솔위100%.결론 복막투석상관성복막염적발병여성별、투석령등인소상관,다인조작불당소치,재환자적수방과정중,응가강대환자조작기술이급복막염방치상관지식적재배훈.
Objective To investigate the etiological and risk factors of peritoneal dialysis-related peritoni-tis, as well as the influencing factors. Methods Forty patients of peritoneal dialysis-related peritonitis in our hospi-tal from April 2012 to November 2014 were retrospectively analyzed from gender, age, disease-onset seasons, dialy-sis age, etiological factors, types of medical insurance and prognosis. The types of pathogenic bacteria were summa-rized. Results During the study period, 51 episodes of peritonitis were recorded for the 40 patients, of which 31 (77.50%, 31/40) were cured, and 22.50%dropped out peritoneal dialysis. Among the 40 patients, female patients were significantly more than male ones. Patients of dialysis age for over 1 year were in the majority, accounting for 84.31%. Patients of urban medical insurance (77.50%) were significantly more than those of rural cooperative medical service (22.50%). Disease-onset seasons had little effect on peritoneal dialysis-related peritonitis. Etiological factors were main-ly unstandardized operation (41.18% ). The most common pathogenic bacteria were Staphylococcus epidermidis (63.64%). All the patents of fungal peritonitis dropped out peritoneal dialysis, with the rate of 100%. Conclusion Peri-toneal dialysis-related peritonitis is closely related with the patients' gender, dialysis age, which were mainly caused by unstandardized operation. Operating technique and prevention knowledge to peritoneal dialysis-related peritonitis should be strengthened and retrained during follow-up.