目的: 探讨腹膜透析对糖尿病尿毒症患者透析效果与生活质量的影响。方法: 选择2015年8月至2016年8月收治的糖尿病尿毒症患者90例,随机分为观察组和对照组,各45例。对照组采用血液透析治疗,观察组采用腹膜透析治疗。对比两组患者治疗前与治疗12周后血尿素氮(BUN)、血肌酐(SCr)、24 h尿量、24 h尿蛋白水平及生活质量的变化。结果: 观察组治疗后BUN、SCr、24 h尿蛋白水平均低于对照组(P＜0.05),24 h尿量高于对照组(P＜0.05)。观察组治疗后情感职能、生理功能、躯体疼痛、社会功能与总体健康评分均高于同期对照组(P＜0.05)。结论: 腹膜透析在糖尿病尿毒症患者中具有较好的透析效果,且能够改善生活质量,适于临床推广。

Objective: To investigate the effect of peritoneal dialysis on the dialysis effect and life quality of diabetic patients with uremia.Methods: 90 cases of patients with diabetes mellitus and uremia from August 2015 to August 2016 were enrolled and randomly divided into control group and study group, 45 cases in each group. The control group was treated by hemodialysis, and the study group was treated by peritoneal dialysis. The changes of BUN, SCr, 24h urine output, 24h urinary protein level and quality of life were observed before and 12 weeks after treatment in the two groups.Results: The levels of BUN, SCr and 24h urine protein in study group were lower than those in control group (P＜0.05), and the 24h urine output in study group was higher than that in control group (P＜0.05). The emotional function, physiological function, physical pain, social function and overall health score in study group were higher than those in control group (P＜0.05).Conclusion: Peritoneal dialysis has significant dialysis effect in diabetic patients with uremia and can improve the quality of life, which is suitable for clinical promotion.