Hung K Y, Hsu W A, Tsai T J, Yen C J, Hou C H, Yen T S
Department of Internal Medicine, National Taiwan University Hospital, Taipei, ROC.
Postgrad Med J. 1995 Mar;71(833):160-3. doi: 10.1136/pgmj.71.833.160.
This is a retrospective comparison of the status among the elderly (> or = 60 years, 23 patients) and younger patients (< 60 years, 31 cases) who initiated continuous ambulatory peritoneal dialysis (CAPD) between January 1986 and December 1992 at the National Taiwan University Hospital. The distribution of underlying renal diseases differed in the two groups with diabetes (56%) as the most common disease in the elderly, in contrast to glomerulonephritis (60%) in the younger patients. Haemodialysis intolerance and patient preference were the main reasons leading to the use of CAPD in both groups. Social rehabilitation status was poorer in the elderly group. The difference in cumulative risk of the first peritonitis episode and the technique failure rate were not statistically significant. The major causes of mortality were of vascular origin in both groups. In conclusion, similarities in the technique failure rate and the cumulative risk of peritonitis imply that CAPD is an acceptable alternative long-term dialysis therapy for geriatric patients.
这是一项回顾性比较研究，比较了1986年1月至1992年12月期间在台湾大学医院开始持续非卧床腹膜透析（CAPD）的老年患者（≥60岁，23例）和年轻患者（<60岁，31例）的情况。两组患者潜在肾脏疾病的分布有所不同，糖尿病（56%）是老年患者中最常见的疾病，而年轻患者中最常见的是肾小球肾炎（60%）。血液透析不耐受和患者偏好是两组患者采用CAPD的主要原因。老年组的社会康复状况较差。首次腹膜炎发作的累积风险和技术失败率的差异无统计学意义。两组患者的主要死亡原因均为血管源性。总之，技术失败率和腹膜炎累积风险的相似性表明，CAPD是老年患者可接受的长期透析替代疗法。
