摘要
目的探讨老年人维持性血液透析(MHD)的特点和临床疗效。方法回顾性分析62例MHD患者的临床资料,其中老年组31例、对照组31例,比较两组生存率、死亡原因、透析中不良反应及合并精神抑郁的发生率。结果老年组MHD患者1年生存率、3年生存率、5年生存率均明显低于对照组(P<0.01);老年血液透析第一年的病死率高,死亡原因第一位是心血管病,第二位是感染;透析中不良反应及合并精神抑郁的发生率明显高于对照组(P<0.01),对血液透析的耐受性明显差于对照组。结论早期充分透析;加强个体化透析;加强透析中及透析间期的管理及血液透析知识的健康教育;加强营养物质的摄入、防治并发症;做好患者的心理疏导,可提高老年MHD患者的生存率。
Objective To evaluate the clinical characteristics and therapeutic effects of the old patients in maintenance hemodialysis（MHD）. Methods The clinical darn of 62 cases were retrospective analysis. The patients were divided into two groups： the old group and control group. The survival rate, the death causes, the adverse reactions during dialysis and the incidence of psyehal depression were analyzed. Results Compared with control group, the survival rates of the old group at 1、3 and 5 year were lower（P〈0.01）,The death rate at the first year was higher. The first death cause was cardiovascular disease and the second was severe infections. The adverse reactions during dialysis and the incidence of psychal depression were higher （P〈0.01）. The tolerarance to hemodialysis was poor. Conclusion Receiving hemodialysis early, doing hemodialysis individually, reinforcing the management during dialysis and dialysis interval,doing health education to the patients and their relatives, receiving nutrition more, preventiving and treating complication, doing psychal canalize to the old patients can improving the survival rate.
出处
《安徽医学》
2006年第3期212-214,共3页
Anhui Medical Journal
