摘要
目的探讨持续性非卧床腹膜透析(CAPD)患者低钾血症的发生及临床特点。方法选取2002年12月-2011年12月采取持续非卧床腹膜透析治疗的47例尿毒症患者,就其透析过程中低钾血症发生情况进行总结分析。结果低钾血症31例(66%);低钾血症组与非低钾血症组比较,低钾血症组血尿素氮、肌酐、血钠、血氯、血钙及白蛋白明显降低(P<0.05);两组年龄、性别、糖尿病肾病所占的比例及透析龄差异均无统计学意义(P>0.05)。血钾水平随白蛋白浓度、血氯及血钙的提高而下降(OR=0.756,0.772,0.022,P<0.05)。结论密切联系、定期随诊观察CAPD患者,提高患者就诊依从性,及时发现与纠正低钾血症,有助于提高CAPD患者的生活质量与长期存活率。
Objective To investigate the incidence of hypokalemia and its relation to clinical features of continuous ambulatory peritoneal dialysis（CAPD）.Methods We retrospectively analyzed the clinical data of 47 uremic patients undergoing peritoneal dialysis from December 2002 to December 2011.Results Hypokalemia occurred in 31 patients（66%）.Compared with patients with normal potassium,serum potassium,BUN,Scr,Na,Cl,Ca,and ALB were found significantly lower in hypokalemia patients（P〈0.05）.There was no significant difference in age,gender,proportion of diabetic nephropathy and dialysis age between hypokalemia and non-hypokalemia group.Serum potassium,ALB,Cl,and Ca concentrations were found significantly lower in severe malnutrition group（r=0.756,0.772,0.022;P〈0.05）.Conclusion Close observation of CAPD patients,improvement of the treatment compliance,and timely detection and correction of hypokalemia can help improve quality of life of CAPD patients and their long-term survival.
出处
《华西医学》
CAS
2013年第6期844-846,共3页
West China Medical Journal
关键词
腹膜透析
低钾血症
危险因素
Peritoneal dialysis
Hypokalemia
Risk factors
