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目的通过对腹膜透析(PD)患者退出相关原因的分析,探讨防治对策。方法回顾性调查2006年7月～2011年12月在泰安市中心医院腹透中心进行腹膜透析的患者,分在透和退出两组,统计他们的性别、原发病、付费方式、退出原因,χ2检验法分析不同付费方式、不同性别在两组间的差异。结果 104例腹膜透析患者,在透58例,退出37例,转肾移植9例,退出率为35.58%。退出组医保患者比率低于在透组(P<0.01),女性比率高于在透组(P<0.05)。结论腹膜透析患者的退出和死亡受多种因素的影响,心血管事件是死亡的主要原因,经济困难、女性等因素均容易导致退出。
Objective To analyze the causes of withdrawal from peritoneal dialysis (PD) patients and discuss the prevention and treatment measures. Methods A retrospective survey of patients undergoing peritoneal dialysis from July 2006 to December 2011 in the peritoneal dialysis center of Central Hospital of Tai’an was conducted on both dialysis and extubation groups and their gender, primary disease, payment method, reason for withdrawal, χ2 test analysis of different payment methods, different gender differences between the two groups. Results Peritoneal dialysis patients in 104 cases, in 58 cases, exit in 37 cases, renal transplantation in 9 cases, the exit rate was 35.58%. The rate of Medicare withdrawal patients in the withdrawal group was lower than that in the transcatheter group (P <0.01), and the female rate was higher than that in the transcatheter group (P <0.05). Conclusions The withdrawal and death of peritoneal dialysis patients are affected by many factors. Cardiovascular events are the main cause of death. Economic difficulties, women and other factors are likely to lead to withdrawal.