1328例血液透析患者的回顾性分析

Clinical Observation for 1328 cases of Blood Disease Patient

目的回顾性分析行血液透析患者的人口统计学和流行病学特点,为本地区防病治病提供决策依据。方法自1986年5月至2005年9月,在我院接受血液透析患者1328例,分析患者的性别、年龄,原发病因,首次透析前病情,治疗持续时间和转归以及住院患者的死亡原因。结果1328例患者中以中、青年为主,各年龄组患者均为男性多于女性,男/女接近2.1∶1,平均年龄39.6±16.5岁,已知病因者中以原发性肾小球肾炎为主,占73.5%,继发性肾小球疾病占6.6%,糖尿病肾病、高血压病、狼疮性肾炎分别占2.1%、2.0%和1.1%。慢性肾衰终末期才就医占65.9%。预后以原发性肾小球肾炎最好,住院患者死亡原因为脑血管意外33例(25.7%),感染25例(19.5%),多脏器功能障碍23例(17.9%)。结论本组患者以中、青年为主,各年龄组患者均为男性多于女性,原发病因以原发性肾小球肾炎为主,预后以原发性肾小球肾炎最好,继发性肾小球疾病疗效最差;透析不充分是死亡的直接因素,透析总体水平与国内外相比仍有不少差距。

Objective Recalling calculation of blood disease patients and characteristic of epidemic so as to provide the strategy of proof of disease prevention. Methods from May 1986 to September 2005, 1328 cases of patients accept the blood analysis with sex, age, reason of original disease, initial analysis of disease, continuing treatment period, and transferring and death reason of inpatient. Results 1328 cases of patients base on middle and youth. The patients of various ages are men more than women with 2.1：1 in proportion, average age 39.6 ± 16.5 ages, the original kidney disease mainly, to cover 73.5%, continuing kidney disease to cover 6.6%, diabetic kidney disease, high blood pressure, kidney disease to cover 2.1%, 2.0% and 1.1% separately; The slow kidney disease ending period covers 65.9%; the post original kidney is best, slow kidney is second, continuing kidney disease treatment effect is worst. The 33 cases （25.7%） patients in ward is death from brain blood vein, inflammation patient of 25 case （19.5%）, multiple organs of function trouble of 23 eases （17.9%）; Conclusions This group of patients bases on middle and youth patients mainly; Various ages of patients have more men than woman. The original diseased reason is original kidney disease mainly; post original kidney disease is best, continuing kidney disease is worst; the insufficient death reason is direct reason of death; the gross analysis level has major distance with home and abroad comparably.