摘要
目的为初步调查我国血液透析患者的主要病因及治疗状况,对分布全国28个省市自治区的部分军队医院现有血液透析患者共2001例的病因、目前促红细胞生成素使用及贫血治疗、高血压治疗状况、血浆白蛋白及血脂水平等进行了调查。结果2001例血液透析患者中原发性肾小球肾炎占49.07%、高血压肾损害占16.99%、糖尿病肾病占12.04%,在2001例血液透析患者中,高血压患者的比率达81.51%,高血压控制常需多种降压药联合应用。血压控制低于140/90mmHg(1mmHg=0.133Kpa)水平者占58.98%。有85.51%的透析患者使用了促红细胞生成素,血红蛋白(Hb)≥90g/L的患者占使用促红细胞生成素患者的54.18%,Hb>110g/L者为16.78%。有33.33%患者血浆白蛋白水平低于35g/L,有12.14%患者血浆白蛋白水平低于30g/L。结论我国血液透析患者的病因主要是原发性肾小球肾炎、高血压肾损害、糖尿病肾病,高血压和贫血治疗效果欠满意。
Objective To investigate the main etiologic and treatment status of maintain hemodialysis patients,2001 cases were analyzed in the causes of ESRD,the status of erythropoietin`s application, treatment of anti-hypertension, the level of plasma albumin,and total cholesterol level. Results Chronic glomerulonephritis accounted for 49.07% as the leading cause of ESRD, followed by hypertensive nephropathy (16.99%),and diabetic nephropathy(12.04%).the mobidity of hypertension is 81.51%,which need multiple drugs in the anti-hypertension treatment.The patients with blood pressure <140/90 mmHg is 58.98%.The use rate of erythropoietin is 85.51%.There are 48.33% patients whose Hb reach higher than 90g/L.Hb>110g/L rate is 16.89%.There are 33.33% patient whose plasma albumin concentrateion is<35g/L. and there are 12.14% patients whose plasma albumin concentration is <30 g/L. Conclusion Chronic glomerulonephritis, hypertensive nephropathy,diabetic nephropathy are the main causes of ESRD,The effect of anti-hypertension and renal anemia treatment is unsatisfactory.
出处
《中国血液净化》
2005年第5期235-238,共4页
Chinese Journal of Blood Purification
基金
国家自然基金创新研究群体基金会资助项目(30121005)
关键词
血液透析
病因
血压
促红细胞生成素
贫血
Hemodialysis
Etiologic analysis
Hypertension
Erythropoietin
Anemia
