摘要
目的调查2010年至2011年山西省新进入血液透析患者的发生率、原发病因构成、血管通路等方面情况，以初步了解山西省血液透析的现状，并为血液净化的质量控制提供数据支持。方法回顾性分析2010年至2011年山西省所有开展血液净化治疗的医疗机构网上直报的血液透析患者的病例资料。各种相关数据的采集通过全国血液净化病例登记系统完成。结果2010年山西省血液透析年度发生率为每百万人口46．62人，2011年上升为每百万人口53．44人，增长14．6％。年度发生率男、女比例2010年为1．22：1，2011年上升为1．28：1。山西省终末期肾病患者开始血液透析最多的年龄段2010年为40～49岁，2011年为50～59岁。血液透析患者前5位的原发病因依次为慢性肾小球肾炎、糖尿病肾病、高血压肾硬化、多囊肾、间质性。肾炎，其中慢性肾小球肾炎占全部病因的62．4％。在新进入血液透析时的血管通路中，临时中心静脉置管居于第1位，占48．9％，其次是自体动静脉内瘘，占40．9％。结论山西省的血液透析患者逐年增多，男性多于女性。血液透析患者的原发病因以慢性肾小球肾炎为首位，且占的比例较高。进人血液透析时的血管通路以临时中心静脉置管比例最高，提示过晚透析的问题仍较突出。
Objective To investigate the incidence, primary disease and vascular access of the initial hemodialysis patients in Shanxi province during 2010-2011. Methods A total of 3434 chronic renal failure （CRF） patients starting their first-time hemodialysis in Shanxi province during 2010-2011 were surveyed. Their data were registered in Chinese national renal data system. All related data were collected from Chinese national renal data system. Results In Shanxi province, 1514 cases began hemodialysis in 2010 and the annual incidence was 46.62 per million people （pmp）, 1920 cases began hemodialysis in 2011 and the annual incidence was 53.44 pmp. The most common causes of CRF in these hemodialysis patients were glomerulonephritis （62.4%）, diabetic nephropathy （22.0%）, and hypertensive nephrosclerosis （8.1%）. The most popular vascular access in CRF patients at the beginning of hemodialysis was temporary central venous catheter （48.9%）, then arteriovenous fistula （40.9%）. Conclusions In Shanxi province, maintenance hemodialysis patients are increasing and there are more male patients. Main causes of ESRD patients on hemodialysis are chronic glomerulonephritis, diabetic nephropathy and hypertensive nephrosclerosis. The major vascular accessof CRF patients at the beginning of hemodialysis is temporary central venous catheter, which indicates that delayed hemodialysis is still a glaring problem in Shanxi province.
出处
《中华肾脏病杂志》
CAS
CSCD
北大核心
2013年第1期6-10,共5页
Chinese Journal of Nephrology
关键词
血液透析
发病率
人工血管
流行病学
Hemodialysis
Incidence
Blood ressel prosthesis
Epidemiology
