中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (09): 600-602.doi: 10.3969/j.issn.1671-4091.2019.09.005

• 专题与讲座 • 上一篇    下一篇

糖尿病腹膜透析患者的预后

盛琦琳1,任棉1,寿张飞2   

  1. 1. 浙江大学附属第一医院肾脏病中心
    2. 浙江大学医学院
  • 收稿日期:2019-02-15 修回日期:2019-04-08 出版日期:2019-09-12 发布日期:2019-09-02
  • 通讯作者: 寿张飞 zfshou@zju.edu.cn E-mail:zfshou@zju.edu.cn

The prognosis of diabetic patients on peritoneal dialysis

  1. 1Kidney Disease Center, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; 2School of Medicine, Zhejiang University, Hangzhou 310058, China
  • Received:2019-02-15 Revised:2019-04-08 Online:2019-09-12 Published:2019-09-02

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摘要： 【摘要】糖尿病终末期肾病患者逐年增多，腹膜透析和血液透析是主要的肾脏替代治疗方式，但其透析方式的选择仍存在一定争议。糖尿病患者腹膜透析的预后远不如非糖尿病患者，血糖、营养状态、液体管理、腹膜炎等多种因素都会影响糖尿病腹膜透析患者生存预后，控制血糖、良好营养状态、降低腹膜炎发生率、采用新型腹膜透析液及自动化腹膜透析技术可能有利于改善糖尿病腹膜透析患者的预后。

关键词: 糖尿病, 腹膜透析, 血液透析, 预后

Abstract:

【Abstract】The number of end-stage renal disease patients due to diabetes is increasing in recent years. Peritoneal dialysis (PD) and hemodialysis are the main renal replacement therapies for these patients, but which is the best dialysis modality for these patients is unknown. In patients using PD as the dialysis modality, the prognosis is worse in diabetic patients than in non-diabetic patients. Many factors affect the survival and prognosis of diabetic patients on PD, which include blood glucose concentration, nutritional status, fluid management and peritonitis. Therefore, control of blood glucose concentration, maintenance of a normal nutritional status, prevention of peritonitis, use of non-traditional peritoneal dialysate, and automated peritoneal dialysis technology may improve the prognosis of diabetic patients on PD.

Key words: Diabetes, Peritoneal dialysis, Hemodialysis, Prognosis

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