【摘要】 目的探讨腹膜透析中心管理的评价标准以及北京地区腹膜透析中心管理水平。方法在北京市血液净化质量控制与改进中心的组织下,设计和审核《2018年度腹膜透析中心管理质量评估体系》。北京地区所有开展腹膜透析业务的医疗机构根据上述体系填报2017年1月1日～12月31日期间腹膜透析管理质量数据,对数据进行汇总和分析。结果该体系包含10个维度,涉及腹膜透析管理相关的不同方面。2017年底北京地区共有腹膜透析患者2057例,开展腹膜透析业务的医疗机构共37家,腹膜透析专业人员116人。心脑血管疾病是腹膜透析患者死亡的主要原因,占死亡患者的44.3%。腹膜透析相关性感染是转入血液透析的主要原因,占所有转入血液透析患者的42.2%。绝大多数腹膜透析中心建立了较为完备的患者培训体系。84.5%的腹膜透析患者可以每1～3月随诊1次,不同中心的随访内容存在较大的差异。北京地区腹膜透析相关性腹膜炎的发生率为83.1患者月。46.1%的腹膜透析中心至少每季度组织1次腹膜透析中心质量控制会议。结论《2018年度腹膜透析中心管理质量评估体系》基本反映了北京地区腹膜透析临床工作状况和管理水平,对本地区腹膜透析工作的持续发展起到重要作用。更多还原

【Abstract】 Objective To explore the evaluation standards for the management in peritoneal dialysis(PD) centers and their management level in Beijing. Methods Under the organization of Beijing Blood Purification Quality Control and Improvement Center, we designed the "2018 PD center management quality evaluation system". According to this system, all medical institutions engaged in PD in Beijing reported their quality data of PD management from January 1, 2017 to December 31, 2017. These data were summarized and analyzed. Result This system includes 10 dimensions involving various aspects of PD management. By the end of 2017, a total of 2,057 PD patients were treated; 37 medical institutions and 116 PD professionals engaged in PD in Beijing. Cardiovascular and cerebrovascular diseases were the main causes of death in PD patients, accounting for 44.3% of the total deaths. PD associated infection was the main reason for transfer to hemodialysis, accounting for 42.2% of all these patients. Most PD centers established a relatively complete training system for patients, and 84.5% of the PD patients could be followed up once every 1-3 months but the follow-up contents were significantly different among the centers. The incidence of PD-associated peritonitis in Beijing was 83.1/patient month. A quality control meeting was organized at least once a quarter in 46.1% of the PD centers. Conclusion The "2018 PD center management quality evaluation system" primarily reflects the level of clinical work and management of PD in Beijing and plays an important role in the sustainable development of PD in Beijing.更多还原