与较早启动腹腔透析相关的围膜导管泄漏不会影响长期结果
George Tsihlis1,2, Kieren Pirabhahar3, Frederika Sciberras1
1Western Renal Services (Western Sydney and Nepean Blue Mountains Local Health Districts), Sydney, New South Wales, Australia.
Kidney international reports
|September 18, 2024
概括
导管插入后14天内早期开始的腹膜透析 (ESPD) 显示的并发症率与传统开始的PD相似,除了增加的周围导管泄漏. 这种策略对于功能衰竭患者是可行的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 脏替代疗法治疗 脏替代疗法
- 透析技术 透析技术
背景情况:
- 腹腔透析 (PD) 越来越多地是在导管插入后不久开始的.
- 关于这种早期启动策略的结果的数据有限.
研究的目的:
- 为了比较早期开始PD (ESPD) 和常规开始PD (CSPD) 的结果.
- 评估ESPD和CSPD之间的并发症和转移率.
主要方法:
- 对297名发病PD的成年功能衰竭患者进行了回顾性观察性研究.
- 据定义,ESPD是PD开始≤14天,导管插入后;CSPD是>14天.
- 收集了有关人口统计,传染病和机械并发症以及与PD相关的周周炎或血液透析转移的时间的数据.
主要成果:
- 130名患者 (43.8%) 接受了ESPD.
- 与CSPD相比,ESPD与显著更多的环管泄漏相关 (6.9%与0.6%,P=0.003).
- 在其他并发症发作,PD相关的腹膜炎或转移到血液透析时没有发现显著差异.
结论:
- 早期开始的PD与 pericatheter 泄漏的风险增加有关.
- 否则,ESPD表现出与传统启动PD相似的并发症概况.
- 导管插入技术和先前的血液透析没有影响结果.
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