【摘 要】
：
目的：明确初始透析方式不同对腹透病人生存预后的影响及相关因素.方法：回顾性分析2010年1月1日至2014年12月31日植入腹透管并维持腹膜透析患者,至少规律随访3月.数据来自浙江省透析质控中心的透析登记系统.根据腹透前有、无血透史分为2组：未血透组,临时血透组(血透时间＜3月).采用Kaplan-Meier生存曲线、COX回归分析比较3组生存率及影响生存相关因素.结果：纳入腹透患者共908人,其
【机 构】
：
诸暨市人民医院肾内科 绍兴市人民医院肾内科
【出 处】
：
浙江省生物医学工程学会肾脏病透析移植分会2015年学术年会
论文部分内容阅读
目的：明确初始透析方式不同对腹透病人生存预后的影响及相关因素.方法：回顾性分析2010年1月1日至2014年12月31日植入腹透管并维持腹膜透析患者,至少规律随访3月.数据来自浙江省透析质控中心的透析登记系统.根据腹透前有、无血透史分为2组：未血透组,临时血透组(血透时间＜3月).采用Kaplan-Meier生存曲线、COX回归分析比较3组生存率及影响生存相关因素.结果：纳入腹透患者共908人,其中未血透组为732人,临时血透组176人.未血透组、临时血透组的1年、2年、3年及4年患者生存率分别为96.2％,91.4％,88％,85％；92.8％,88.8％,78.2％,78.2％,存在显著差异；技术生存率无明显差异.COX回归分析提示年龄、血清白蛋白水平、合并症指数等级、起始透析方式是影响生存的独立危险因素.结论：维持腹透患者透前接受血液透析的时间越短,生存率越好；起始透析方式是影响患者长期生存的独立危险因素之一,需重视患者的透析前计划与宣教.
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