紧急起始腹膜透析患者发生管周渗漏的危险因素分析
Analysis of risk factors for peritubular leakage in patients with urgent-start peritoneal dialysis
白秉书 1刘涛 2杜华新 1龚驰芳1
作者信息
- 1. 121000 辽宁,锦州医科大学锦州市中心医院研究生培养基地
- 2. 锦州市中心医院肾内一科
- 折叠
摘要
目的 分析紧急起始腹膜透析患者发生管周渗漏的危险因素.方法 腹膜透析置管术后行紧急起始腹膜透析的患者122例,根据置管术后30 d内是否发生管周渗漏将患者分为渗漏组(31例)和非渗漏组(91例).比较两组患者的临床资料,分析紧急起始腹膜透析患者发生管周渗漏的危险因素.结果 与非渗漏组比较,渗漏组Plt和嗜酸性粒细胞计数较低,低白蛋白血症和透析起始时间≤72 h的比例较高(P＜0.05).低白蛋白血症和透析起始时间≤72 h是紧急起始腹膜透析患者发生管周渗漏的独立危险因素,而Plt较高是独立保护因素(P＜0.05).结论 低白蛋白血症和透析起始时间≤72 h是紧急起始腹膜透析患者发生管周渗漏的独立危险因素,而Plt较高是独立保护因素.
Abstract
Objective To analyze the risk factors for peritubular leakage in the patients with urgent-start peritoneal dialysis.Methods A total of 122 patients underwent urgent-start peritoneal dialysis after peritoneal dialysis catheter implantation.According to whether peritubular leakage occurred within 30 days after catheterization,the patients were divided into two groups of A(with peritubular leakage,31 cases)and B(without peritubular leakage,91 cases).The clinical data of the two groups were compared and the risk factors for peritubular leakage in the patients with urgent-start peritoneal dialysis were analyzed.Results Compared with group B,group A had lower Plt and eosinophil count,and higher proportions of hypoalbuminemia and dialysis initiation time ≤72 hours(P＜0.05).Hypoalbuminemia and dialysis initiation time≤72 hours were the independent risk factors for the occurrence of peritubular leakage in the patients with urgent-start peritoneal dialysis,while higher Plt was the independent protective factor(P＜0.05).Conclusion Hypoalbuminemia and dialysis initiation time ≤72 hours are the independent risk factors for the occurrence of peritubular leakage in the patients with urgent-start peritoneal dialysis,while higher Plt is an independent protective factor.
关键词
腹膜透析Key words
Peritoneal dialysis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据