Woodrow Graham, Fan Stanley L, Reid Christopher, Denning Jeannette, Pyrah Andrew Neil
St James's University Hospital Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Royal London Hospital, London, UK.
BMC Nephrol. 2017 Nov 16;18(1):333. doi: 10.1186/s12882-017-0687-2.
These guidelines cover all aspects of the care of patients who are treated with peritoneal dialysis. This includes equipment and resources, preparation for peritoneal dialysis, and adequacy of dialysis (both in terms of removing waste products and fluid), preventing and treating infections. There is also a section on diagnosis and treatment of encapsulating peritoneal sclerosis, a rare but serious complication of peritoneal dialysis where fibrotic (scar) tissue forms around the intestine. The guidelines include recommendations for infants and children, for whom peritoneal dialysis is recommended over haemodialysis.Immediately after the introduction there is a statement of all the recommendations. These recommendations are written in a language that we think should be understandable by many patients, relatives, carers and other interested people. Consequently we have not reworded or restated them in this lay summary. They are graded 1 or 2 depending on the strength of the recommendation by the authors, and A-D depending on the quality of the evidence that the recommendation is based on.
这些指南涵盖了接受腹膜透析治疗患者护理的各个方面。这包括设备和资源、腹膜透析的准备工作、透析充分性(包括清除废物和液体方面)、预防和治疗感染。还有一部分内容是关于包裹性腹膜硬化症的诊断和治疗,这是腹膜透析一种罕见但严重的并发症,即肠周围形成纤维化(瘢痕)组织。指南包括针对婴儿和儿童的建议,对于他们,推荐进行腹膜透析而非血液透析。在引言之后紧接着是所有建议的陈述。这些建议是以一种我们认为许多患者、亲属、护理人员和其他感兴趣的人都应能理解的语言撰写的。因此,在本通俗易懂的总结中我们未对其进行重新措辞或重述。根据作者建议的力度,它们被评为1级或2级,根据该建议所依据证据的质量评为A - D级。