Rubin J, Case G
Department of Medicine, University of Mississippi Medical Center, Jackson 39216-4505.
Perit Dial Int. 1990;10(1):37-40.
This study was performed to evaluate if the increased number of connections needed to perform bagless continuous ambulatory peritoneal dialysis (CAPD) with the Delmed system was associated with an increased incidence of peritonitis. All patients, from April 1986 through October 1988, using the Delmed bagless connection system, the Delmed bag system, and the Abbott spike system were included. Fifty patients (42.7 years at risk) received bagless CAPD (53 episodes of peritonitis; 1.24 episodes/patient year of dialysis); 56 patients (46.8 years at risk) utilized the Delmed bag technique (76 episodes of peritonitis; 1.63 episodes/patient year); and 45 patients (66.7 years at risk) utilized the Abbott system (155 episodes of peritonitis; 2.36 episodes/patient year of dialysis). The time to the first peritonitis episode was not significantly different between groups. Fifteen patients were switched from the Abbott system (2.3 episodes/patient years) to the Delmed bagless system (0.9 episodes/patient year, peritonitis; p less than 0.05) and 9 patients were switched from the Abbott spike system (2.3 episodes/patient years) to the Delmed bag system (1.4 episodes/patient years; p less than 0.01). It is concluded that the Delmed bagless system is not associated with an increased incidence of peritonitis and that the Delmed system is at least as good as the spike connection devices.
本研究旨在评估使用德尔梅德系统进行无袋持续非卧床腹膜透析（CAPD）所需连接数量的增加是否与腹膜炎发病率的增加相关。纳入了1986年4月至1988年10月期间所有使用德尔梅德无袋连接系统、德尔梅德袋装系统和雅培穿刺系统的患者。50例患者（风险期42.7年）接受无袋CAPD（发生53次腹膜炎；每患者透析年1.24次发作）；56例患者（风险期46.8年）采用德尔梅德袋装技术（发生76次腹膜炎；每患者年1.63次发作）；45例患者（风险期66.7年）采用雅培系统（发生155次腹膜炎；每患者透析年2.36次发作）。各组首次发生腹膜炎的时间无显著差异。15例患者从雅培系统（每患者年2.3次发作）转换为德尔梅德无袋系统（腹膜炎每患者年0.9次发作；p<0.05），9例患者从雅培穿刺系统（每患者年2.3次发作）转换为德尔梅德袋装系统（每患者年1.4次发作；p<0.01）。得出的结论是，德尔梅德无袋系统与腹膜炎发病率增加无关，且德尔梅德系统至少与穿刺连接装置一样好。
