Flynn C T, Shadur C A
Am J Kidney Dis. 1981 Jul;1(1):15-23. doi: 10.1016/s0272-6386(81)80006-6.
Between May of 1978 and December of 1980 we have treated 33 patients with continuous ambulatory peritoneal dialysis (CAPD) for a total of 1209 patient weeks. Thirteen patients were diabetic, 14 nondiabetic but with complications that made CAPD the treatment of choice, and six were nondiabetic without complications. Good control of plasma glucose was obtained n diabetics by the use of intraperitoneal insulin. Overall plasma glucose control, as estimated by glycohemoglobin and fasting plasma glucose levels was the same in both groups. Plasma triglyceride levels were normal in most of the diabetic patients and elevated in most of te nondiabetic patients. Visual difficulties did not prevent self-dialysis in seven diabetic patients who were legally blind, and these patients spent the least time in hospital and had the least peritonitis. Diabetic patients seem at least as able to cope with CAPD as nondiabetic patients and may derive some special advantages from the technique.
1978年5月至1980年12月期间，我们对33例患者进行了持续性非卧床腹膜透析（CAPD）治疗，累计治疗周数达1209周。其中13例为糖尿病患者，14例非糖尿病患者但伴有并发症，使得CAPD成为首选治疗方式，6例为无并发症的非糖尿病患者。糖尿病患者通过使用腹腔内胰岛素实现了血浆葡萄糖的良好控制。根据糖化血红蛋白和空腹血糖水平评估，两组患者的总体血浆葡萄糖控制情况相同。大多数糖尿病患者的血浆甘油三酯水平正常，而大多数非糖尿病患者的血浆甘油三酯水平升高。视力障碍并未妨碍7例法定失明的糖尿病患者进行自我透析，这些患者住院时间最短，腹膜炎发生率也最低。糖尿病患者似乎至少与非糖尿病患者一样能够应对CAPD治疗，并且可能从该技术中获得一些特殊优势。
