Clinical analysis of continuous ambulatory peritoneal dialysis complicated by serum hypoproteinemia in 30 patients

VernacularTitle:持续性不卧床腹膜透析患者并发低蛋白血症30例临床分析
Author: Huimin WANG ; Ziyong TANG
Publication Type:Journal Article
Keywords: Peritoneal dialysis; C-reactive protein; Hypoproteinemia; Inflammation
From: Clinical Medicine of China 2010;26(11):1183-1185
CountryChina
Language:Chinese
Abstract: Objective To test the serum albumin level in patients having the peritoneal dialysis,and investigate its relationship with C-reactive protein(CRP)level or other inflammatory complications. Methods Sixty patients having peritoneal dialysis treatment were divided into two groups based on the serum albumin(ALB)level,patients had normal ALB level were included into group A,while the patients with serum hypoproteinemia were included into group B. The serum level of CRP,transferin(TF)and nutritional status were compared between two groups,and their relationship with clinical complications were evaluated. Results The serum CRP level in patients of group B(8.40 ± 1.32)mg/L was significantly higher than group A(2. 14 ±0.87)mg/L(P ＜0. 01). Patients from group B had more inflammation complications,such as peritonitis(6. 7%),pneumonia(13. 3%),cardiovascular disease(16.7%). Conclusions The continuous ambulatory peritoneal dialysis patients accompanied with hypoproteinemia are more likely to have inflammation complications and cardiovascular diseases,which should cause more attention on their malnutrition-inflammation- CVD(MIA)syndrome diagnosis and treatment.