中国实用内科杂志

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老年腹膜透析治疗特殊性

阳晓余学清   

  1. 作者单位:中山大学附属第一医院肾内科,广州 510080
  • 出版日期:2014-12-01 发布日期:2014-12-19
  • 通讯作者: 余学清
  • 作者简介:余学清,教授、博士生导师。中山大学附属第一医院副院长、卫生部肾脏病重点实验室主任。兼任国务院学位委员会学科评议组成员,国际腹膜透析学会(ISPD)理事及会员委员会主席,亚太肾脏病学会常务理事,中华医学会肾脏病学分会候任主任委员,中国医师协会肾脏病学分会前任会长。教育部特聘教授-长江学者、国家自然科学基金杰出青年基金获得者、国家百千万人才工程“有突出贡献的中青年”。主持省部级以上科研基金42余项。发表SCI收录论文156篇。获省部级以上科研成果奖7项,其中国家科技进步二等奖1项。获得2014美国NKF国际杰出研究者奖。

Characteristics of peritoneal dialysis in elderly patients with end-stage renal disease

YANG Xiao,YU Xue-qing.   

  1. Department of Nephrology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China
  • Online:2014-12-01 Published:2014-12-19

摘要:

随着人口老龄化,老年终末期肾病(ESRD)透析患者数量快速增加。腹膜透析(PD)因其居家治疗、血流动力学稳定等独特优势在老年ESRD患者中具有较好的适用性。然而老年ESRD患者多种并发症及营养不良等因素直接影响PD患者生存;此外,老年人的身体状况及认知功能低下可增加腹膜炎发生率及PD技术失败率。针对老年ESRD患者PD治疗的特殊性,应积极治疗并发症、改善营养状态;对于缺乏独立操作能力的老年患者,借助家庭或社会支持提供PD帮助。这些策略将有助于改善老年PD患者生存率,并获得较好的生存质量。

关键词: 终末期肾病, 老年人, 腹膜透析

Abstract:

Abstract:The elderly CKD patients constitute the fast-growing population reaching end-stage renal disease (ESRD) and commencing dialysis therapy.Peritoneal dialysis (PD) has many advantages on elderly patients such as home-based therapy,relatively stable hemodynamics,etc.However,elderly patients have multiple complicated disorders and are more susceptible to malnutrition,which are very important prognostic factors for survival of patients.A high burden of physical and cognitive impairment in elderly patients may increase the risk of peritonitis and technique failure.Intensive care should be taken to cope with the comorbidities and malnutrition in the elderly.Offering assisted peritoneal dialysis to unstable or frail elderly ESRD patients will help to perform the procedure at home and improve the technique survival.All these strategies for the care of elderly PD patients will result in better survival and quality of life.

Key words: end stage renal disease, elderly, peritoneal dialysis

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