Analysis Of111Cases Peritoneal Dialysis Patients

Objective:Retrospective analysis of the hospital in patients with peritoneal dialysis treatment.Methods:Collected between December2006to May2013in the hospital catheter and regular follow-up of111cases of peritoneal dialysis patients. Analysis of serological indexes change after treatment and related complications, outcome. Results: The primary disease of chronic glomerulonephritis accounted for the majority, followed by diabetic nephropathy. The mean catheterization age was46.69±13.72years, less than45years old accounted for44.14%; male and female proportion reasonably; catheter method was given priority to with surgical incision. After dialysis, blood urea nitrogen, uric acid, serum phosphate declined, hemoglobin, hematocrit, serum calcium elevated, the difference was statistically significant (P<0.05); the differences of serum albumin, alkaline phosphatase, and parathyroid hormone were no statistically significant (P>0.05).Afterl years,2years,3years of dialysis, the interval of24h urine volume was894.89±557.42ml,612.99±482.18ml,442±520.71ml respectively, decreased year by year. Complications of peritonitis majority, followed by catheter dysfunction.23cases (20.72%) complicated with peritonitis,7cases (6.31%) complicated twice or more.Main causes of peritonitis were changed liquid repeatedly, operated owe standard lead to exposure to pollution and gastrointestinal inflammation;pathogens were staphylococcus epidermidis, staphylococcus aureus and escherichia coli. The exit rate of peritoneal dialysis was14.41%, inadequate dialysis, volume overload were the main reason to hemodialysis.4cases(3.60%)died, the reason was all caused by cardiovascular events, including2cases of diabetic nephropathy. To renal transplantation in2cases (1.8%).Conclusion:After peritoneal dialysis treatment, the clinical symptoms of patients with end-stage renal failure had better mitigation, but the prevention and treatment of peritonitis, cardiovascular events and other related complications still need further research.