摘要
目的 探讨治疗老年尿毒症较理想的透析方法。方法 对 5 6例作血液透析 (HD)和 33例使用O型管(O -Set)组作非卧床持续性腹膜透析 (CAPD)的老年尿毒症患者进行比较 ,观察两组患者透析前后的临床和生化指标、透析后主要并发症、生存率、死亡原因。结果 透析前合并有高血压、心脏肥大、冠心病、糖尿病者 ,作CAPD后出现并发症的机会较HD少 (P <0 0 5 ) ;但HD或CAPD治疗后 1年和 3年生存率比较无显著性差异 (分别为70 2 % ,6 4 6 % ;76 3% ,6 7 8% ;P >0 0 5 )。结论 透析前合并有高血压、心脏肥大、冠心病。
Objective\ To explore the most appropriate dialysis modality for elderly patients.Methods\ 89 patients were divided into 2 groups:56 receiveing HD and 33 receiving CAPD(O-set).Clinical blood chemistry before and after dialysis,complications,survival rate,and causes of death were compared between 2 groups.Results\ Patients with hypertension,cardiac hypertrophy,coronary heart disease and diabetes had less complication after CAPD than patients receiving hemodialysis(P<0 05).1 year and 3 year survival rates in the hemodialysis and CAPD patients were 70 2% versus 64 6%,and 76 3% versus 67 8% respectively,with statistically significant difference(P>0 05).Conclusions\ Elderly patients complicated with hypertension,cardiac hypertrophy,coronary heart disease and diabetes are better candidates for CAPD.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2000年第4期217-219,共3页
Chinese Journal of Practical Internal Medicine
