The application of automated peritoneal dialysis in patients with CKD stage 5 requiring urgent-start peritoneal dialysis treatment
10.3969/j.issn.1673-9701.2024.28.006
- VernacularTitle:自动化腹膜透析在CKD 5期患者紧急起始透析治疗中的疗效观察
- Author:
Tieming NIU
1
;
Qingze DONG
;
Tianyi HUANG
;
Yan LI
;
Wenqing YU
;
Huan WANG
Author Information
1. 沈阳市红十字会医院肾病科,辽宁沈阳 110013
- Keywords:
Automated peritoneal dialysis;
Urgent-start peritoneal dialysis;
Chronic kidney disease
- From:
China Modern Doctor
2024;62(28):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of automated peritoneal dialysis(APD)in urgent-start peritoneal dialysis patients with stage 5 chronic kidney disease(CKD).Methods A total of 60 patients with end-stage renal disease who underwent urgent-start peritoneal dialysis in Shenyang Red Cross Hospital from June 2021 to December 2023 were selected as study objects.According to peritoneal dialysis,patients were divided into APD group and intermittent peritoneal dialysis(IPD)group,with 30 patients in each group.Renal function,electrolyte,parathyroid hormone,inflammatory factors,nutritional indexes,brain natriuretic peptide,blood pressure,urine volume,ultrafiltration volume and adverse reactions were compared between two groups.Results After treatment,serum creatinine,urea nitrogen,uric acid,potassium,phosphorus,parathyroid hormone,C-reactive protein,interleukin-6,brain natriuretic peptide,systolic blood pressure and diastolic blood pressure in two groups were significantly lower than before treatment,and urine volume was significantly higher than before treatment(P＜0.05).Serum creatinine,urea nitrogen,uric acid,potassium,phosphorus,parathyroid hormone,C-reactive protein,interleukin-6,brain natriuretic peptide,systolic blood pressure and diastolic blood pressure in APD group were significantly lower than those in IPD group,and ultrafiltration volume in APD group was significantly higher than that in IPD group(P＜0.05).After treatment,there was no significant difference in urine volume between two groups(P＜0.05).No serious complications and death were observed during treatment.Conclusion APD is safe and effective,and is a good choice for urgent-start peritoneal dialysis in stage 5 CKD patients.
