摘要
目的:探讨应用潮式腹膜透析(tidal peritoneal dialysis,TPD)改善新置管腹膜透析患者临床症状的效果。方法:选取本院新置管的腹膜透析患者118例,按照随机数字表法将其分为试验组和对照组,各59例。试验组采用TPD模式,对照组采用间歇性腹膜透析(intermittent peritoneal dialysis,IPD)模式,观察两组患者的临床症状改善情况。结果:腹膜透析1周后,试验组失眠或嗜睡、乏力、味觉障碍或口有氨味、厌食、恶心、呕吐、皮肤瘙痒等主观症状均较对照组明显改善,比较差异均有统计学意义(P<0.01);两组体液失衡、高血压、血清白蛋白、血红蛋白、Scr/H等客观症状比较,差异均无统计学意义(P>0.05)。结论:TPD模式应用于新置管腹透患者可有效改善患者的主观症状,提高患者的生活质量。
Objective:To explore the effect of tidal peritoneal dialysis(TPD)on improving the clinical symptoms of patients with first intubated peritoneal dialysis.Method:A total of 118 patients with first intubated peritoneal dialysis in our hospital were selected,according to the random number table method,they were divided into experimental group and control group,59 cases in each group.The experimental group was treated with TPD mode,while the control group was treated with intermittent peritoneal dialysis(IPD)mode.The improvement of clinical symptoms between two groups was observed.Result:After 1 week of peritoneal dialysis,the subjective symptoms such as insomnia or drowsiness,fatigue,taste disorders or mouth ammonia smell,anorexia,nausea,vomiting and pruritus in the experimental group were significantly better than those of control group,the differences were statistically significant(P<0.01).The objective symptoms such as body fluid imbalances,hypertension,ALB,HB,Scr/H of two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:The TPD model can effectively improve the subjective symptoms of the patients with first intubated peritoneal dialysis and improve their quality of life.
作者
宋利媚
王利平
邝惠冰
宁志芳
简金莲
蔡赛兰
邓莉莉
邱敏智
SONG Limei;WANG Liping;KUANG Huibing(The People’s Hospital of Guangdong Province,Guangzhou 510000,China)
出处
《中国医学创新》
CAS
2017年第36期56-59,共4页
Medical Innovation of China
基金
广东省医学科学技术研究基金(WST JJ20121206420500197506211145)
关键词
潮式腹膜透析
自动化腹膜透析
临床症状
评分
Tidal peritoneal dialysis
Automated peritoneal dialysis
Clinical symptoms
Score
