持续质量改进改善腹膜透析患者的容量超负荷（基础医学论文资料）.docVIP

持续质量改进改善腹膜透析患者的容量超负荷（基础医学论文资料） 文档信息 ： 文档作为关于“医学心理学”中“肿瘤学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文6734字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：持续质量改进改善腹膜透析患者的容量超负荷 2 1资料与方法 3 2统计分析 6 4 讨论 6 文2：腹膜透析高血压患者血压与容量超负荷和水盐的 7 1 资料与方法 8 2 结果 8 3 讨论 9 4 参考文献 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 11 正文 持续质量改进改善腹膜透析患者的容量超负荷（基础医学论文资料） 文1：持续质量改进改善腹膜透析患者的容量超负荷 Volume management in peritoneal dialysis patients:A continuous quality improvement study ZHANG LeiWANG ZhikuiREN YueqinZHOU Zhongqi Department of nephrology in People’s hospital of Linyi city Shandong Province，Shandong 276003，China [Abstract] Objective Hypervolemia is one ofimportant risk facto of cardiovascular complicatio in peritoneal patients， to improve the life quality in peritoneal patients ，a continuous quality improvement (CQI) approach that mainly focused on volume management is 135 peritoneal dialysis patients who dialyzed for more than 3 months were included in this were asked to provide their dialysis records at monthly visit. Left ventricular ejection fraction(LVEF) and Left ventricular end-diastolic diameter ( LVEDD) were checked before and after the implementation of PDCA process to improve the volume management. Results Incidence of hypertention is reduced from % to %，edema companied by hypertention from % to %， Congestive heart failure from % to %， 76 new patients within one yearno heart Through continuous quality improvement measures in peritoneal dialysis patients with load state management， the incidence of cardiovascular complicatio has been reduced， the quality of life of patients is improved。 [Key words] Continuous quality improvement;Uremia; Continuous ambulatory peritoneal dialysis; Hypervolemia;Hyperteion; Congestive heart failure [作者简介] 张磊（1969-），女，山东济南人，硕士学位，山东省临沂市人民医院肾内科，副主任医师，主要从事慢性肾脏病临床工作。 容量负荷问题仍然是腹膜透析患者常见的问题，可导致尿毒症患者高血压、左心室肥厚及充血性心衰等并发症。Krediet RT[1]回顾分析了大量的资料表明，容量负荷过重仍然是心血管并发症及死亡率的最重要的危险因素。EuroBCM研究[2]报道，腹膜透析患者至少60%存在容量超负荷，其中%的患