Reasons for withdrawal of patients undergoing continuous ambulatory peritoneal dialysis in Jiangning district and corresponding countermeasures
Objective To analyze reasons for withdrawal of patients undergoing continuous ambulatory peritoneal dialysis(CAPD) in Jiangning district,Nanjing and corresponding countermeasures.Methods Clinical data of 135 patients undergoing CAPD in our department were retrospectively analyzed to investigate thei...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2016-01-01
|
| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57918768&Fpath=home&index=0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objective To analyze reasons for withdrawal of patients undergoing continuous ambulatory peritoneal dialysis(CAPD) in Jiangning district,Nanjing and corresponding countermeasures.Methods Clinical data of 135 patients undergoing CAPD in our department were retrospectively analyzed to investigate their time and reasons of withdrawal.Meanwhile,indexes such as hemoglobin,Alb,serum potassium,serum calcium,serum phosphate,serum creatinine,blood urea nitrogen(BUN) and glomerular filtration rate(GFR) were recorded in peritoneal dialysis catheter insertioa After data were collected,patients were divided into different groups based on if their protopathy was diabetic kidney disease(DKD),age and gender for comparative analysis.Results Among 135 patients investigated,83 patients kept on undergoing CAPD until the ending of this survey and 52 patients withdrew,so the withdrawal rate was 38.52%.Transfer to hemodialysis and fatality were primary and secondary reasons of their withdrawal from peritoneal dialysis.Twenty-two out of 52 patients(42.38%) withdrew for the former reason and 21 out of 52 patients(40.38%) withdrew for the latter reason.Cerebrovascular disease was the foremost cause of fatality(13/21,61.9%).The withdrawal rate(22/37,59.46%) and fatality rate(12/37,32.43%) of patients whose protopathy was diabetic kidney disease were significantly higher than withdrawal rate(30/98,30.61%) and fatality rate(9/98,9.18%) of patients without diabetic kidney disease,so the differences were statistically significant(P = 0.002 in all cases).Alb,serum creatinine,BUN and GFR in DKD group were compared with those in non-DKD group when began to undertake dialysis.The results suggested that there were statistically significant differences between these two groups(P<0.05).All of four renal transplantation patients were young.Withdrawal rate of old patients undergoing peritoneal dialysis(26/53,49.06%) was higher and fatality(18/53,33.96%) was the main reason of their withdrawal.Withdrawal rate of male patients undergoing peritoneal dialysis(30/62,48.39%) was higher than females(22/73,30.14%).Conclusions Cerebrovascular disease was an important cause of patients’ withdrawal from peritoneal dialysis.Patients with chronic renal failure and DKD should undertake dialysis as soon as possible and actively strengthen pre-dialysis integrated treatment Social support and family management should be strengthened for old patients undergoing peritoneal dialysis.For male patients undergoing peritoneal dialysis,it was necessary to strengthen education,follow-up visit and post-dialysis retraining. |
|---|---|
| ISSN: | 1671-2390 |