Marichal J F, Cordier B, Hedelin G, Faller B, Brignon P
Service de Néphrologie-Hémodialyse, Hôpital Pasteur, Colmar, France.
Pathol Biol (Paris). 1990 Feb;38(2):99-104.
Experience influence on treatment success of renal chronic failure by continuous ambulatory peritoneal dialysis comparatively to hemodialysis in center is estimated by the probability variation of still being in dialysis techniques. The retrospective study was realized in 276 dialysed patients who were taken over from 1972 to April 1989. In this population, there isn't any significant difference between the probability to stay in ambulatory peritoneal dialysis or in hemodialysis in center. But, if the study is realizing from the 4 years which followed the technique introduction in the center, the success probability at 30 months, remains the same for hemodialysis in center whether the technique has began in 1972 or 1976, whereas for continuous ambulatory peritoneal dialysis, this probability raises from 52% to 72% if it begins after 1982. Ambulatory peritoneal dialysis treated patients would be maintained more longer in their system than hemodialysis patients. Those results are explaining by prevention of the peritonitis thanks to technological progress and the early prevention of possible complications.
通过比较中心持续性非卧床腹膜透析与血液透析对慢性肾衰竭治疗成功的经验影响，是根据仍采用透析技术的概率变化来评估的。这项回顾性研究纳入了1972年至1989年4月期间接受透析治疗的276例患者。在这个群体中，接受非卧床腹膜透析或中心血液透析的概率没有显著差异。但是，如果研究是从该技术在中心引入后的4年开始进行，中心血液透析在30个月时的成功概率，无论该技术是在1972年还是1976年开始，都保持不变，而对于持续性非卧床腹膜透析，如果在1982年之后开始，这个概率则从52%提高到72%。接受腹膜透析治疗的患者在其治疗体系中的维持时间会比接受血液透析的患者更长。这些结果可以通过技术进步对腹膜炎的预防以及对可能并发症的早期预防来解释。
