老年尿毒症患者長期血液透析的療效觀察

The effect of long-term haemodialysis on elderly patients of uremia

對在本院行血液透析治療的老年尿毒症患者(>60歲)140例進行回顧性分析,設立非老年尿瘵症患者100例為對照組,探討老年血透患者彫響長期存活的各種因素及防治方法。結果老年組1、3、5年存活率分別為68.5%、22.1%及8.5%,主要死因是心血管病變,老年存活者主要併發症有心血管病變(佔82.7%)、高血壓(佔53.5%)、低血壓(佔75.8%)及感染(佔31%)。與非老年存活者比較有顯著性差異。認為高齡患者>90歲仍可血透,但早期充分有效的透析,加強營養,防治併發症,建立良好的血管通道是提高存活率的關鍵。

A retrospective analysis was performed on 140 elderly patients(>60yrs)suffered from uremia with haenodialysis in our hospital and established non-elderly as control group.To study the factors which affct long-term survival and treatment in elderly haemodialysis patients.Results showed that survival rate of first year,third year and fifth year in elderly group was respectively 68.5%,22.1%,8.5%.Main fatal cause was cardiovascular disorders.Main complications included:cardiovascular disorders 82.7%,hypertension 53.5%,hypotension 75.8% and infection 31%.There was significant difference with non-elderly group.Conclusion was elderly patients,even if over 90 years old,can also receive haemodialysis.Early effective dialysis,enough nourishment,preventing complications and good blood vessel way,all are the keys of increasing survival rate.