中国临床医学2012，Vol.19Issue(6)：653-657,5.
初始透析终末期肾病的患者临床特征分析
Characteristics of Patients with End Stage Renal Disease When Initiating Dialysis
摘要
Abstract
Objective:To investigate the characteristics and annual changes with patients of end stage renal disease (ESRD) who initiated dialysis in the hemodialysis center of Zhongshan Hospital,Fudan University. Methods: An retrospective interview was taken among the ESRD patients who intiated dialysis from 2000 to 2008. Patients' basic profiles, primary renal disease of ESRD, complications, laboratory results and estimated glomerular filtration rate(eGFR) were analyzed. Results: A total of 1139 ESRD patients initiated dialysis were enrolled[591 male(60. 7%)and 448 female(39. 3%)], the average age was 53. 8 ± 16. 9 years old (13 to 95 years old). 57. 3% patients' primary renal disease was chronic glomerulonephritis, ESRD due to diabetes mellitus and hypertension was 12. 7% and 11.9%, respectively. There were 82. 0% patients complicated with hypertension; the mean blood pressure before dialysis was(151. 1 ± 24. 5)mmHg/(87. 0 ± 15. 1 )mmHg. The mean level of hemoglobin was 73. 2 g/L. The level of hemoglobin and serum albumin increased significantly annually (P<0. 05). The mean eGFR was (5. 5 ± 3. 2)mL(min ·1. 73m2). Conclusions: Chronic glomerulonephritis is the major cause of ESRD. ESRD patients had poor management in blood pressure, anemia, nutrition before initiating dialysis. Clinical nephrologists should strengthen the management and treatment of ESRD complications. Early preparation for dialysis should be suggested to reduce dialysis complications.关键词
终末期肾病/初始透析特征Key words
End stage renal disease/Characteristics when initiating dialysis分类
医药卫生引用本文复制引用
龚劭敏,钟一红,汤颖,许嵘,崔晓萌,丁小强..初始透析终末期肾病的患者临床特征分析[J].中国临床医学,2012,19(6):653-657,5.基金项目
上海市重大课题(编号:08DZ1900602) （编号:08DZ1900602）
