过渡到腹膜透析:不管你来自哪里,这并不重要
Diogo Francisco1, Andreia Carnevale1, Gonçalo Ávila1
1Centro Hospitalar Lisboa Ocidental, Serviço de Nefrologia, Lisboa, Portugal.
Jornal brasileiro de nefrologia
|May 8, 2024
概括
腹腔透析 (PD) 是对末期病 (ESRD) 患者的一种可行的治疗方法,无论之前是否接受过脏替代疗法 (RRT),如血液透析或脏移植. 在不同患者群体中,PD提供了足够的疗效和生存结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
- 透析是通过透析进行的.
背景情况:
- 末期脏疾病 (ESRD) 患者经常切换脏替代疗法 (RRT) 模式.
- 根据先前的RRT,评估腹膜透析 (PD) 的结果对于患者管理至关重要.
研究的目的:
- 评估开始腹透析 (PD) 患者在不同之前的置换疗法 (RRT) 后的结果.
- 为了比较PD疗效,并发症和患者的生存率在以前进行血液透析,脏移植失败,或没有先前的RRT.
主要方法:
- 对流行PD患者 (2010-2017年) 的回顾性观察单中心研究.
- 患者被分为三个组:PD-first,先前的血液透析 (HD) 和失败的移植 (KT).
- 随访60个月或直到PD退出,分析结果如超过,残留功能,腹膜炎,心血管事件,死亡和技术存活.
主要成果:
- 超过失败显示,从HD过渡的患者的发病率趋向于更高.
- 在PD-first患者中,残留功能显著更好地保持.
- 之前的移植 (KT) 患者表现出更高腹膜炎率的趋势,主要心血管事件的发生率显著增加.
结论:
- 腹腔透析 (PD) 是适合ESRD患者的RRT选择,无论他们之前的治疗方式如何.
- 应根据个体患者的临床,社会因素和偏好考虑PD.
- 结果,包括技术的存活率和疗效,在各组之间是可比的,对移植后患者心血管事件的具体考虑.
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