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家庭透析患者康复情况的比较。持续性非卧床腹膜透析或间歇性腹膜透析与家庭血液透析的比较。

Comparison of rehabilitation in patients undergoing home dialysis. Continuous ambulatory or cyclic peritoneal dialysis vs home hemodialysis.

作者信息

Rubin J, Case G, Bower J

机构信息

Department of Medicine, University of Mississippi Medical Center, Jackson.

出版信息

Arch Intern Med. 1990 Jul;150(7):1429-31.

PMID:2369241
Abstract

Rehabilitation was assessed in 70 patients undergoing continuous ambulatory (CAPD; n = 67) or cyclic (CCPD; n = 3) peritoneal dialysis and 76 patients undergoing home hemodialysis (HHD). In the CAPD/CCPD group, there were more blacks (83% vs 53%) and diabetics (24% vs 8%). If patients too infirm to work were excluded, no statistically significant differences were found between those working for gain and in school (19% for CAPD/CCPD vs 32% for HHD); homemakers (16% for CAPD/CCPD vs 28% for HHD); and those not working (66% for CAPD/CCPD vs 41% for HHD). Although the CAPD/CCPD group had less formal education (8.9 +/- 3.7 years vs 10.9 +/- 2.2 years for HHD), illiteracy rates were similar (CAPD/CCPD, 16%; HHD, 7%). If unemployable (elderly and debilitated) patients were excluded, full rehabilitation was excellent in both groups (57% for CAPD/CCPD vs 65% for HHD), despite the greater number of blacks and diabetics in the CAPD group.

摘要

对70例接受持续性非卧床腹膜透析(CAPD;n = 67)或间歇性腹膜透析(CCPD;n = 3)的患者以及76例接受家庭血液透析(HHD)的患者进行了康复评估。在CAPD/CCPD组中,黑人(83%对53%)和糖尿病患者(24%对8%)更多。如果排除身体过于虚弱无法工作的患者,在有收入工作和在校的患者中(CAPD/CCPD组为19%,HHD组为32%)、家庭主妇中(CAPD/CCPD组为16%,HHD组为28%)以及无工作的患者中(CAPD/CCPD组为66%,HHD组为41%),未发现统计学上的显著差异。尽管CAPD/CCPD组接受的正规教育较少(8.9±3.7年对HHD组的10.9±2.2年),但文盲率相似(CAPD/CCPD组为16%,HHD组为7%)。如果排除无法就业(老年人和体弱患者),两组的完全康复情况都很好(CAPD/CCPD组为57%,HHD组为65%),尽管CAPD组中的黑人和糖尿病患者较多。

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