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目的：观察腹膜透析液保留灌肠治疗老年肾功能不全的疗效。方法：１３例老年肾功能不全病人（男性６例，女性７例，年龄７５±ｓ７ａ）。用醋酸盐型腹膜透析液２００ｍＬ保留灌肠２０～３０ｍｉｎ，分别在ｄ３，１０，２０检测血浆中尿素、肌酐的浓度。结果：全部病人ｄ３开始消化道症状消失，尿量增加；ｄ１０，５例ＢＵＮ和ＳＣｒ接近正常，８例ＢＵＮ和ＳＣｒ有明显改善，Ｐ＜０．０１。结论：腹膜透析液保留灌肠治疗老年慢性肾功能不全近期疗效良好
Objective: To observe the efficacy of peritoneal dialysate retention enema in the treatment of senile renal insufficiency. Methods: Thirteen elderly patients with renal insufficiency (6 males and 7 females, age 75 ± s7a). Acetate peritoneal dialysis solution 200mL retention enema 20 ~ 30min, respectively, in the plasma d 3,10,20 detection of urea, creatinine concentration. Results: The digestive tract symptoms disappeared and urine output increased at the beginning of d3 in all patients. BUN and SCr in d10 and 5 were close to normal, and BUN and SCr in 8 cases were significantly improved (P <0.01). Conclusion: Peritoneal dialysate retention enema for the treatment of chronic renal insufficiency in elderly patients with good immediate effect