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題 名 | Complications and Survival in Diabetic and Non-diabetic Capd Patients: 8-Year Experience=連續可攜式腹膜透析之八年經驗--糖尿病與非糖尿病的併發症和存活率 |
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作 者 | 侯嘉修; 蔡敦仁; 趙世晃; 謝博生; 嚴澯鑫; | 書刊名 | 中華民國腎臟醫學會雜誌 |
卷 期 | 8:1 1994.03[民83.03] |
頁 次 | 頁1-9 |
分類號 | 415.937、415.937 |
關鍵詞 | CAPD; Diabetes mellitus; Survival rate; Peritonitis; |
語 文 | 英文(English) |
中文摘要 | 糖尿病尿毒病患經常伴隨其他器官之障礙,尤其是心臟血管疾病。過去的研究報告顯示不論是血液透析或腹膜透析,糖尿病尿毒病患之存活率均比非糖尿病患低。本報告研究連續可攜式腹膜透析之併發症和存活率,進一步分析影響存活的建險因子。從1984年11月到1993年1月共收錄39例糖尿病,55例非糖尿病,平均之治療時間分別是 14.7 ± 2 和 22.O ± 3.1 月。和非糖尿病患比起來,糖尿病患的平均年齡較大〔61.5± 2.l vs. 41.1 ± 2.1 歲 ,p< 0.OOl 〕,同時較常合併心臟血管疾病〔 51.3% vs. 3.6%,p<0.001 〕 , 腦血管疾病〔23.1% vs.5.6%,p<O.OOl 〕,和高血醋症〔35.9% vs.12.7%,p<0.05 〕。糖尿病患的存活率比非糖尿病低〔1,2,3 年分別是 72.5%vs.89%, 34%vs.82%,22.6%vs.81.5%,p< 0.001〕,經年齡校正後,結果一樣〔PE0.OO4〕。經年齡與接頭分層後再分析,糖尿病患的腹膜炎發生率和非糖尿病患則無顯著差異。最常見的腹膜炎病原菌是金黃葡萄球菌。結論:分析連續可攜式腹膜透析之存活率,糖尿病患比非糖尿病患差,而且糖尿病常伴隨許多系統性疾病,本身即腹膜透析一重要的危險因子。 |
英文摘要 | The complications and outcomes of continuous ambulatory peritoneal dialysis (CAPD) were evaluated in diabetic and non-diabetic patients collected from National Taiwan University Hospital over 8 years. We collected 39 diabetic patients (20 males and 19 females) and 55 non-diabetic patients (23 males and 32 females) maintaining on CAPD for a mean treatment period of 14. 7 (1-46) and 22.0 (1-82) months respectively. The overall survival was lower in the diabetics than in the non-diabetics (one, two and three-year survival to be 72.5% vs. 89%, 34% vs. 82% and 22.6% vs.81.5%, p<0.001). Compared with non-diabetics, the diabetic patients were older (61.5±2.1 vs. 41.1±2.1 years, p<0.001) and associated with more cardiovascular disease (51.3% vs. 3.6%, p<0.001), cerebral vascular disease (23.1% vs. 5.6%, p<0.001) and hyperlipidemia (35.9% vs. 12.7%, p<0.05). The overall peritonitis rate of diabetics was higher than that of nondiabetics. However, there was no difference in peritonitis rate between both groups after adjusting the difference of age and connection systems. The most common causative microorganisms was Staphylococcus aureus (overall 12.4%). Other complications were not different between 2 groups. It is concluded that in our CAPD program the diabetic patients are usually older and associated with more vascular risks, and have a poorer survival than the non-diabetic patients. |
本系統中英文摘要資訊取自各篇刊載內容。