摘要
目的:回顾性研究本院终末期肾脏疾病(endstagerenaldisease,ESRD)血液透析患者流行病学特征。方法:收集2007年5月～2011年5月本院ESRD维持性血液透析患者204例,分析其原发疾病构成、年龄、性别、透析治疗持续时间及转归。结果:ESRD血液透析患者平均年龄(45.62±14.30)岁,男女之比为1.83∶1。最主要的原发疾病为慢性肾小球肾炎,占48.53%;其次为糖尿病肾病,占15.20%;高血压肾损害,占11.27%,多囊肾肾病占5.88%。ESRD维持性血液透析患者共204例,其中56.86%的患者仍在进行维持性血液透析治疗,血液透析时间最长者为13年,2例(0.98%)已行肾脏移植,30例(14.71%)转至外院治疗,2例(0.98%)改为腹膜透析,13例(6.37%)因经济困难放弃治疗,41例(20.10%)患者死亡。结论:本组患者以中、老年为主,男性多见;ESRD血液透析患者主要原发疾病为慢性肾小球肾炎,其次为糖尿病肾病,再次为高血压肾损害。随着透析龄延长,维持血液透析的患者数量逐渐减少。
Objective： To investigate the epidemiologic characteristics of end stage renal disease （ESRD） patients undergoing hemodialysis. Methods： Retrospectively analyzed the primary diseases, age, sex and dialysis age of 204 maintenance hemodialysis patients in ESRD from May 2007 to May 2011. Results： The mean age of this group was （45.62±14.30） years old. Of all the 204 cases, the ratio for male to female was 1.83∶1. The main primary diseases were chronic glomerulonephritis in 48.53%, diabetic nephropathy in 15.20%, hypertensive nephropathy in 11.27% and polycystic kidney in 5.88%. There were also 56.86% patients in maintenance hemodialysis and the oldest dialysis age was 13 years. 2 cases had been kidney transplantation, 30 cases had been to other hospitals, 2 cases transformed to peritoneal dialysis. 13 cases refused further treatment, 41 cases had been dead. Conclusion： Middle and elderly male people are the main part of patients with ESRD. The main primary diseases of ESRD patients undergoing hemodialysis are chronic glomerulonephritis, diabetic nephropathy and hypertensive nephropathy. With dialysis age older, the amount of maintenance hemodialysis patients is reducing.
出处
《中国当代医药》
2011年第30期160-161,共2页
China Modern Medicine
