【摘要】目的探讨持续非卧床腹膜透析(continuous ambulatory peritoneal dialysis，CAPD)慢性心功能不全患者6 个月内再入院的危险因素。方法回顾性分析2017 年1 月～2018 年12 月在苏州大学附属第一医院肾内科腹膜透析中心的CAPD 患者204 例。采用Log-rank 单因素分析和多因素Cox 回归分析法，探讨CAPD 慢性心功能不全患者再入院原因。结果6 个月内再入院人数为59 例，占总人数的28.92%。2 组患者在尿素氮、血清前白蛋白、收缩压、舒张压、容量管理水平和水肿程度方面存在统计学差异(c2 值分别为3.765，6.021，4.652，3.623，6.211，6.041；P 值分别为0.017，0.001，0.015，0.018，0.001，0.001)。多因素COX 回归分析示，容量管理水平、血清前白蛋白和水肿程度是CAPD 慢性心功能不全患者6 个月内再入院的危险因素(95%CI 值分别为1.298～2.432，1.421～2.765，1.021～2.002；OR 值分别为2.003，2.112，1.675；P 值分别为0.023，0.001，0.034)。结论腹膜透析护士应提高CAPD 患者的容量管理水平、改善营养状态和水肿程度，进而降低再住院率。
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