大冶市农村地区维持性血液透析患者流行病学调查

Epidemiological survey of hemodialysis patients in rural areas of Daye

目的调查分析大冶市农村地区维持性血液透析(CHD)患者的人口统计学和流行病学特点。方法2006年1月—2016年10月在大冶市人民医院血透室接受CHD治疗的农村地区患者(按户籍进行划分)108例,分析患者的性别、年龄、原发病、治疗持续时间、死亡原因。结果 108例尿毒症患者以中、老年为主,平均年龄(51.8±10.5)岁,男/女为1.6∶1,其中56例患者原发病因不明,已知病因者以慢性肾小球肾炎为主(30例),大多数未做肾活检,糖尿病肾病(12例)和高血压肾损害(10例)居其次,分别占27.8%,11.1%和9.3%,最长者已存活10年;11例患者行肾移植,22例患者死亡;患者的主要死因为脑血管意外(36.7%)和急性左心衰(20.0%)。患者透析龄1年以上者98例,透析龄达3年者68例。结论大冶市农村地区维持性血液透析患者以中、老年为主,男性多见;大多原发病因不明,1年、5年和10年生存率分别为93.2%,64.2%和55.1%,主要死亡原因为脑血管意外和心力衰竭。

Objective To analyze the demographic and epidemiologic data of hemodialyze patients in rural areas of Daye. Methods From January 2006 to October 2016,108 cases of CHD patients treated in hemodialysis room in Daye people’s Hospital,The sex,age,primary disease,duration of treatment and cause of death were analyzed. Results108 cases of uremia patients in the middle-aged and elderly,The average age was51.8±10.5,Male/female for 1.6∶1,Among them,51.8% patients had unknown primary cause,Chronic glomerulonephritis is the leading cause of disease,Most of the patients did not undergo renal biopsy,The longest has survived for 10 years,10.2% patients underwent renal transplantation,20.4% patients died,The main causes of death were cerebrovascular accident and acute heartfailure.Conclusion（1） The patients in this group were mainly middle-aged and old men,（2） Most patients with unknown etiology,（3）The longest has survived for 10 years,10.2% patients underwent renal transplantation,20.4% patients died,The main causes of death were cerebrovascular accident and acute heart failure.