Blood Purif. 2019;47(1-3):52-57. doi: 10.1159/000493176. Epub 2018 Sep 17.
This study aimed to compare the short-term complications and long-term prognosis between urgent-start peritoneal dialysis (PD) and hemodialysis (HD), and explore the safety and feasibility of PD in end-stage renal disease (ESRD) patients with diabetes.
This retrospective study enrolled ESRD patients with diabetes who required urgent-start dialysis at a single center from January 2011 to December 2014. Short-term (30-day) dialysis-related complications and patient survival trends were compared between patients receiving PD and HD.
Eighty patients were included in the study, including 50 (62.5%) who underwent PD. The incidence of dialysis-related complications and complications requiring reinsertion during the first 30 days was significantly lower in PD patients. Logistic regression identified urgent-start HD as an independent risk factor for dialysis-related complications compared with urgent-start PD. The patient survival rate was higher in the PD compared to that in the HD group.
PD may be acceptable, safe, and feasible for urgent-start dialysis in ESRD patients with diabetes.
本研究旨在比较紧急开始腹膜透析（PD）和血液透析（HD）的短期并发症和长期预后，并探讨 PD 在糖尿病终末期肾病（ESRD）患者中的安全性和可行性。
本回顾性研究纳入了 2011 年 1 月至 2014 年 12 月在单一中心需要紧急开始透析的 ESRD 合并糖尿病患者。比较了 PD 和 HD 患者的短期（30 天）透析相关并发症和患者生存趋势。
本研究共纳入 80 例患者，其中 50 例（62.5%）接受 PD。PD 患者的透析相关并发症和需要重新插入的并发症发生率在第 30 天前明显较低。Logistic 回归分析确定，与紧急开始 PD 相比，紧急开始 HD 是透析相关并发症的独立危险因素。PD 组的患者生存率高于 HD 组。
PD 可能适合 ESRD 合并糖尿病患者的紧急开始透析，安全且可行。
