摘要
目的:分析急性肾衰竭(ARF)的病因变化,探讨ARF发病率及死亡率居高不下的可能原因。方法:回顾性分析本科1998年1月至2008年12月收治的398例ARF患者的临床资料,将ARF按不同年限分为两组,1998至2003年组及2004至2008年组,按发病年龄分为老年组与非老年组,分析不同年龄组及不同年限ARF的病因构成情况。结果:近5年来,老年及伴有基础疾病的ARF患者比例明显上升,而肾综合征出血热引起的ARF与前6年比较有所下降,有统计学差异(P<0.01)。结论:不同年龄及不同年限ARF的病因构成有所不同,临床医师应充分认识ARF的病因变化情况。
Objective:To analyze the etiology of acute renal failure,and find out the possible reason of high mortality. Methods:This retrospective study included clinical data of 398 patients with ARF in our department from January 1998 to December 2008. According to year,ARF patients will be divided into the following two groups: 1998—2003 group and 2004—2008 group,according to age,ARF will be divided into elderly and non-elderly,to analyze the composition of etiology in different age and different year. Results:In the last five years,the incidence rate of old patients and the patients with basic disease has significantly increased,while the incidence rate of haemorrhagic fever has decreased. Compared with the previous six years,there is a statistically significant difference (P<0.01). Conclusions:The composition of etiology in different age and different year is different .There should be full awareness of the etiology of ARF for medical workers.
