糖尿病肾功能衰竭患者血液透析并发症分析

An analysis on complication of hemodialysis in patients with diabetic renal failure

目的探讨糖尿病肾功能衰竭患者血液透析并发症的特点与处理方法。方法将糖尿病肾病肾功能衰竭行血液透析的患者46例作为研究组,并随机选取同期非糖尿病肾病肾功能衰竭行血液透析的患者50例作为对照组,分析两组患者在血液透析过程中的并发症及处理方法。结果①研究组患者营养状况明显差于对照组(P<0.05);血液透析中常见的并发症为低血压、高血压、贫血、低血糖、感染等,其并发症发生率明显高于对照组(P<0.05)。②经过积极的预防与治疗,改善糖尿病患者营养不良状况,有效控制患者血糖,控制血压,降低血脂,纠正贫血,患者并发症得到有效控制,两组患者透析1年病死率无统计学差异(P>0.05)。结论低血压、高血压、贫血、低血糖、感染等是糖尿病肾功能衰竭患者血液透析常见并发症,其发生率明显高于非糖尿病血液透析患者,临床上应予以高度重视,积极预防与治疗,提高患者生存率。

Objective To study the characteristics and treatment of complications of hemodialysis in patients with diabetic renal failure. Methods Forty - six patients with renal failure and hemodialysis of diabetic nephropathy were selected as study group, and 50 patients with non - diabetic kidney disease of renal failure and hemodialysis were selected as control group, and common complications during hemodialysis and treatment in patients of these two groups were studied and analyzed. Results （1） The nutritional status of patients in study group was significantly lower than that of control group （ P 〈 0.05 ）, and common complications such as hypotension, hypertension, anemia, low blood level of glucose and infection in patients of study group were significantly higher than those of patients in control group （ P 〈 0. 05 ）. （2） After effective control of blood glucose, blood pressure, lowering level of cholesterol and correcting anemia, and complications in patients under effective control, there was no significant difference in one year mortality with that of control group （ P 〉 0. 05 ）. Conclusion Hypotension, hypertension, anemia, low blood level of glucose and infections are common complications of hemodialysis in patients with diabetic renal failure, and physicians should take effective measures for prevention and treatment of these complications and raise the survival rate of these patients.