腹腔镜下腹膜透析置管患者首发腹膜炎相关因素分析

摘要

目的 探讨首次发生腹膜炎患者及预后的相关因素.方法 对我院2014年1月 —2016年1月腹腔镜下腹膜透析置管行持续非卧床腹膜透析(Continuous ambulatory peritoneal dialysis,CAPD)并进行规律随诊的患者首次发生腹膜炎的临床资料进行回顾分析.结果 腹膜炎相关因素的多因素分析结果显示糖尿病肾病、高血压肾病、不戴口罩、接触性感染、非独立透析间为腹腔镜下腹膜透析置管相关腹膜炎发生的危险因素及预测因素;预后结果显示贫血、腹膜平衡实验结果为腹腔镜下腹膜透析置管患者首发腹膜炎预后不良的危险因素和预测因素.结论 通过对本中心首次发生腹膜炎相关因素进行回顾分析,探讨首次发生腹膜炎及预后的相关因素,为今后预防腹膜炎发生、提高腹膜透析患者生存质量提供理论依据.%Objective To explore the related factors of first occurrence of peritonitis and prognosis.Methods Laparoscopic peritoneal dialysis catheter for continuous ambulatory peritoneal dialysis (CAPD) from January 2014 to January 2016 was conducted,Clinical data of first occurrence of peritonitis and regular follow-up of patients with peritonitis were retrospectively analyzed.Results The results of multivariate analysis showed that the peritonitis related risk factors and predictive factors was diabetic nephropathy and hypertensive nephropathy,not wearing masks,contact infection,non independent dialysis for laparoscopic peritoneal dialysis catheter related risk factors and predictors of peritonitis.The prognostic results showed that anemia,and peritoneal equilibration test were risk factors and predictors of poor prognosis in patients with peritoneal peritonitis undergoing laparoscopic peritoneal dialysis catheter placement.Conclusion The related factors of first occurrence of peritonitis and prognosis was analyzed through retrospective analysis.It's provided theoretical basis for preventing peritonitis and improving the quality of life of peritoneal dialysis patients in the future.