T/GDACM 0122-2024 The standard for home management of integrated traditional Chinese and Western medicine-based peritoneal dialysis catheters

Scope

Main technical content: At present, there are more than 272,000 patients worldwide receiving peritoneal dialysis (PD), accounting for about 11% of the total number of dialysis patients globally. In China, there are more than 120,000 PD patients, making China the country with the most PD patients in the world. The main features of PD are that it can be performed at home, is low-cost, and requires fewer medical resources, but it requires patients to operate it themselves and has high demands on patient self-management. Especially for peritoneal dialysis catheters connected to the peritoneal cavity, improper care can easily lead to catheter-related complications. Foreign studies show that peritoneal dialysis-associated peritonitis (PDAP) is the most common and serious complication of PD patients, with nearly 16% of patients withdrawing from PD or dying directly caused by PDAP. Infection at the catheter exit site is an important risk factor for peritonitis. Therefore, standardized care can effectively reduce peritonitis caused by exit site infection, catheter removal, and even death, improve patients' quality of life, and prolong the duration of dialysis. A large number of clinical studies have confirmed that, guided by the theory of nourishing the positive and eliminating the negative, and applying traditional Chinese medicine intervention and management to PD patients on the basis of syndrome differentiation, it has a clear therapeutic effect in preventing and treating PD-related complications, including catheter-related complications, improving patients' quality of life, and prolonging their survival period. This document formulates norms for home management of peritoneal dialysis catheters, standardizes and systematizes the care of peritoneal dialysis catheters, and provides reference for training peritoneal dialysis personnel and patients, with the aim of assisting in the promotion of PD treatment, reducing the incidence of catheter-related complications in PD pati

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