首页|自动化腹膜透析在尿毒症合并新型冠状病毒感染患者中的应用效果

自动化腹膜透析在尿毒症合并新型冠状病毒感染患者中的应用效果

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目的:观察自动化腹膜透析(APD)在尿毒症合并新型冠状病毒感染患者中的应用效果.方法:选取2022年12月7日至2023年1月20日在四川省人民医院肾脏内科因新型冠状病毒感染住院治疗的34例规律腹膜透析患者,根据病情及自愿原则,16例选择持续非卧床腹膜透析(CAPD)治疗(CAPD组),18例选择APD治疗(APD组),比较两组的生化指标、超滤量、住院费用等.结果:APD组住院费用少于CAPD组,出院前3 d超滤量均值高于CAPD组(P<0.05);APD组出入院肌酐及出入院血钾的绝对差值大于CAPD组(P<0.05).结论:与CAPD相比,对尿毒症合并新型冠状病毒感染患者行APD,在肌酐清除及维持血钾平衡方面效果更好,且能增加超滤量及减少住院费用.
Effect of automated peritoneal dialysis in uremic patients with COVID-19 infection
Objective:To observe the effect of automated peritoneal dialysis(APD)in uremic patients with COVID-19 infection.Methods:From December 7,2022 to January 20,2023,34 regular peritoneal dialysis patients hospitalized in the Department of Nephrology,Sichuan People's Hospital due to COVID-19 infection were selected.According to the condition and voluntary principle,16 patients were selected for continuous ambulatory peritoneal dialysis(CAPD)treatment(CAPD group),and 18 patients were selected for APD treatment(APD group).The biochemical indicators,ultrafiltration volume,and hospital costs etc.were compared between the two groups.Results:The hospitalization expenses of the APD group were lower than those of the CAPD group,and the mean ultrafiltration volume three days before discharge was higher than that of the CAPD group(P<0.05).The absolute differences in creatinine and blood potassium levels between discharge and admission in the APD group were higher than those in the CAPD group(P<0.05).Conclusion:Compared with CAPD,APD is more effective in creatinine clearance and maintaining blood potassium balance in uremic patients with COVID-19 infection.Moreover,it can increase ultrafiltration volume and reduce hospitalization costs.

automated peritoneal dialysiscontinuous ambulatory peritoneal dialysisuremiaCOVID-19 infection

李春燕、刘文淑、陈瑾、李小玲、杨娟、李艳

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电子科技大学附属医院·四川省人民医院肾脏内科,四川成都 610072

自动化腹膜透析 持续非卧床腹膜透析 尿毒症 新型冠状病毒感染

2022年成都市科技局技术创新研发项目

2022-YF05-01595-SN

2024

现代临床医学
成都市医学信息所,成都医学会

现代临床医学

影响因子:0.895
ISSN:1673-1557
年,卷(期):2024.50(2)
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