Flynn C T, Hibbard J, Dohrman B
Proc Eur Dial Transplant Assoc. 1979;16:184-93.
Among the diabetic patients we have treated with dialysis blood pressure and blood sugar control have been poor and vascular disease progressive. Intermittent peritoneal dialysis did not improve these problems compared with haemodialysis. Continuous ambulatory peritoneal dialysis was undertaken in three patients as a last resort and electively in another two patients. Insulin was given by the intraperitoneal route and none was used systemically. Self-care was taught from the first using the spouse if visual problems were present. Serum creatinine levels fell and haemoglobin levels rose. Blood pressure was controlled without diet or drugs. Blood sugar levels were controlled without symptomatic hypoglycaemia or rebound hyperglycaemia. The procedure had a demoralising effect on helper spouses, and self-care had to be achieved even with severe visual problems. The advantages of continuous ambulatory peritoneal dialysis to the diabetic with renal failure are greatly improved control of blood pressure and blood sugar.
在我们治疗的糖尿病患者中，透析时血压和血糖控制不佳，血管疾病不断进展。与血液透析相比，间歇性腹膜透析并未改善这些问题。有三名患者作为最后的手段接受了持续非卧床腹膜透析，另有两名患者是选择性接受的。胰岛素通过腹腔途径给药，未使用任何全身用药。如果存在视力问题，从一开始就教导患者及其配偶进行自我护理。血清肌酐水平下降，血红蛋白水平上升。无需饮食或药物即可控制血压。血糖水平得到控制，且未出现症状性低血糖或血糖反跳性升高。该治疗方法对患者的配偶产生了负面影响，即使存在严重视力问题，患者也必须实现自我护理。持续非卧床腹膜透析对糖尿病肾衰竭患者的益处在于能大大改善血压和血糖的控制。
