目的 探讨精细化管理在腹膜透析患者护理中的作用。方法 选择我院2014年5月～2015年4月随访腹透患者256例为 观察组、2013年5月-2014年4月随访腹透患者254例为对照组，观察组采取精细化管理方法，对照组采取常规护理管 理方法，比较两组患者腹透管组异常发生率、腹膜炎发生率、患者随访率、服药正确率、心衰发生率等指标有无差 异。结果 实施精细化管理前腹透患者管组异常发生率、腹膜炎发生率、患者随访率、用药正确率、心衰发生率分 别为8.2%、57.5病人月/次、88%、92%、9.1%，实施精细化管理后腹透患者管组异常发生率、腹膜炎发生率、患者 随访率、用药正确率、心衰发生率分别为3.9%、93.1病人月/次、96%、98%、3.9%，以上5组指标在实施精细化管理 前后比较上均有统计学差异。结论 精细化管理能提高护士安全意识和患者依从性、减少患者并发症发生。

Objective To study the role of fine management in peritoneal dialysis (PD) patient care. Methods A total of 256 patients with PD followed in our hospital from May 2014 to April 2015 were enrolled in the observation group, while 254 PD patients followed in our hospital from May 2013 to April 2014 served as the control group. The fine management and routine management were adopted for patient care in the observation and the control groups, respectively. Incidence of abdominal catheter abnormalities, incidence of peritonitis, the rate of follow-up, and medication accuracy index and incidence of heart failure were compared between the two groups. Results Before the fine management, peritoneal dialysis patient’s incidence of abdominal catheter abnormalities, incidence of peritonitis, the rate of followup, medication accuracy index and incidence of heart failure were 8.2%, 57.5 episodes per patient-month, 88%, 92% and 9.1%. After the fine management, peritoneal dialysis patient’s incidence of abdominal catheter abnormalities, incidence of peritonitis, the rate of follow-up, medication accuracy index and incidence of heart failure were 3.9%, 93.1 episodes per patient-month, 96%, 98% and 3.9%. There have been the statistical differences between the above 4 set of indicators. Conclusion The fine management is associated with improved patient compliance and reduced PDrelated complications in PD patients.