Garcia-Lopez E, Mendoza-Guevara L, Morales A, Aguilar-Kitzu A, Vicencio L M, Hernandez-Fernandez M, Castro F
Hospital de Pediatria del Centro Medico Nacional Siglo XXI, IMSS, Mexico City, Mexico.
Adv Perit Dial. 1994;10:300-3.
The hospital records of all patients on continuous ambulatory peritoneal dialysis (CAPD) who were followed from January 1992 to June 1993 in a third level pediatric hospital were retrospectively reviewed to compare the peritonitis rates of groups of patients according to the dialysis system employed. All patients had Tenckhoff catheters installed by open technique. The groups were A) traditional spike connection system (37 patients), and B) disconnect systems (16 patients) that comprised the O-set system (10 patients) and the basic Y-set system (6 patients). Age was 11.9 +/- 3.7 years (mean +/- SD, range 3 months to 17 years). Follow-up time was 8.5 +/- 4.6 months for the traditional system group (304 cumulated months) and 7.2 +/- 3.6 months for the disconnect systems group (116 cumulated months). Peritonitis rates were 1 episode every 10 months for group A, versus 1 episode every 58 months for group B (p < 0.05). Our results strongly suggest that disconnect systems for peritoneal dialysis can significantly decrease peritonitis rates, although longer follow-up periods are needed.
回顾性分析了一家三级儿童医院1992年1月至1993年6月期间所有接受持续性非卧床腹膜透析（CAPD）患者的医院记录，以比较根据所采用的透析系统分组的患者腹膜炎发生率。所有患者均通过开放技术植入Tenckhoff导管。分组如下：A）传统穿刺连接系统组（37例患者），B）断开连接系统组（16例患者），其中包括O型套装系统（10例患者）和基本Y型套装系统（6例患者）。年龄为11.9±3.7岁（均值±标准差，范围3个月至17岁）。传统系统组的随访时间为8.5±4.6个月（累计304个月），断开连接系统组为7.2±3.6个月（累计116个月）。A组腹膜炎发生率为每10个月1次，而B组为每58个月1次（p<0.05）。我们的结果强烈表明，腹膜透析的断开连接系统可显著降低腹膜炎发生率，尽管需要更长的随访期。
