Viglino G, Colombo A, Scalamogna A, Cavalli P L, Guerra L, Renzetti G, Gandolfo C, De Vecchi A, Barzaghi V, Balteau P
Servizio di Nefrologia e Dialisi, Ospedale S. Lazzaro, Alba, Italy.
Perit Dial Int. 1989;9(3):165-8.
To evaluate acceptability, safety, and efficacy of a Y set with two short branches (TAS) filled with electrolytic chloroxidizer solution during the dwell time, 60 patients were randomly allocated to be treated with the traditional Y set (TCS) or with the TAS. Twenty-three were new patients whereas the remaining 37 were patients already on continuous ambulatory peritoneal dialysis (CAPD) with the TCS. The follow-up was 416.5 months in the control group and 387.4 months in the test group. During the study period there were 6 peritonitis episodes in each group with an incidence of 1 episode every 69.4 patient-months in the control group and 1 episode every 64.6 patient-months in the test group. Twenty-four patients (80%) in the control group and 27 (90%) in the test group were free from peritonitis. The probability to remain free from peritonitis was respectively 87% and 83% in the test group and in control group after 12 months, 70% and 78% after 21 months. Seventy-nine percent of the patients who used both systems preferred the TAS for better handling, lower encumbrance, and major safety. One patient preferred the TCS, three patients did not find any differences between the two devices.
为评估在停留时间内填充有电解氯氧化剂溶液的带两个短分支的Y型装置（TAS）的可接受性、安全性和有效性，60例患者被随机分配接受传统Y型装置（TCS）或TAS治疗。23例为新患者，其余37例为已使用TCS进行持续非卧床腹膜透析（CAPD）的患者。对照组的随访时间为416.5个月，试验组为387.4个月。在研究期间，每组均有6例腹膜炎发作，对照组每69.4患者月发作1次，试验组每64.6患者月发作1次。对照组24例患者（80%）和试验组27例患者（90%）无腹膜炎发作。试验组和对照组在12个月后无腹膜炎发作的概率分别为87%和83%，21个月后分别为70%和78%。使用过两种装置的患者中有79%因操作更简便、负担更轻和安全性更高而更喜欢TAS。1例患者更喜欢TCS，3例患者未发现两种装置有任何差异。
