Clinical evaluation of two different peritoneal dialysis catheter removal methods in elderly patients on peritoneal dialysis
10.3760/cma.j.issn.0254-9026.2022.02.013
- VernacularTitle:两种不同腹膜透析导管拔除术在老年腹膜透析患者中的临床应用
- Author:
Shengxue ZHANG
1
;
Xiaole SU
;
Yan YAN
;
Yan ZHAO
;
Xinyan LIU
;
Xiaoxia LI
;
Yan ZHANG
;
Lihua WANG
Author Information
1. 山西医科大学第二医院肾内科，太原 030001
- Keywords:
Peritoneal dialysis;
Peritoneal dialysis extubation
- From:
Chinese Journal of Geriatrics
2022;41(2):191-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess two methods for peritoneal dialysis catheter removal in elderly patients on peritoneal dialysis.Methods:A retrospective cohort study was conducted and clinical data were collected for 107 elderly patients on peritoneal dialysis with catheters removed at the peritoneal dialysis center of the Second Hospital of Shanxi Medical University from August 2010 to May 2020.The 107 patients were divided into the open surgical extubation group and the 'pull' technique group.Sex, age, disease leading to dialysis, dialysis age, reason for extubation and preoperative test results were compared between the two groups.Operative time, length of postoperative hospitalization, perioperative pain and postoperative complications of the two groups were examined.Results:Higher levels or values were observed in operative time[(71.2±13.4)min vs.(19.3±5.6)min, t=16.933, P<0.01], length of postoperative hospitalization[(9.5±1.8)d vs.(2.2±0.5)d, t=10.988, P<0.01]and intraoperative pain score(4.4±1.6 vs.1.4±1.1, t=6.909, P<0.01)and pain score 24h after surgery(3.7±1.4 vs.0.5±0.3, t=9.995, P<0.01)in the open surgical extubation group than in the 'pull' technique group, but there was no statistical difference in the incidence of postoperative complications between the two groups(6.8% vs.5.0%, χ2=0.037, P>0.05). Conclusions:either the open surgical removal method or 'pull' technique.can safely and effectively remove the peritoneal dialysis catheter in elderly patients on peritoneal dialysis of the two methods, the 'pull' technique has advantages including less trauma, shorter and simpler surgery, helping achieve improved quality of life for elderly patients on peritoneal dialysis.
