Korean Journal of Nephrology 1987;6(2):359-365.

당뇨병성 만성 신부전증의 CAPD 치료 성적

한대석 , 이관우 , 박준용 , 조준구 , 김문재 , 이호영

Abstract

I From August 1983 through August 1987, 21 diabetic patients with end stage renal disease were treated by continous ambulatory peritoneal dialysis. Peritoneal access was achieved by insertion of double-cuff Tenck- hoff cathter by closed medical technique. 1) The diabetic CAPD patiens were 21 cases, male 12, female 9. The non-diabetic CAPD patients were 119 cases, male 77, female 42. The mean ages of diabetic CAPD patients (58.2) were much higher than that of non-diabetic patients (40.9). 2) After CAPD, blood pressure and sugar became well controlled. There were significant improvement of he- matocrit, serum clacium, phosphorus, and BUN (p<0.05 respectively). But, other indexes such as serum albumin, cholesterol, and triglyceride had not changed sig- nificantly from pretreatment values. 3) Peritonitis develped once in every 9.4 patient- months-a rate similar to that observed in nondiabetics. 4) The other complications except CAPD peritionitis were gastrointestinal effects 5 cases, depression2 cases, infection 3 cases, congestive heart failure 1 case, pleural effusion 2 cases, hypoglycemia 1 case, inguinal hernia 1 case. 5) The calculated patient survival in diabetic patients was 84%, 37% respectively at one and two years sig- nificantly lower than that observed in nondiabetics (95. 2%, 90.2% respectively at same periods). 6) The calculated catheter survival in diabetic pati- ents was 89.3%, 73.6% at same periods, a rate similar to that observed in nondiabetics. We conclude that CAPD is a good and effective alternative treatment modality for diabetics with end stage renal disease.