中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (05): 410-412.doi: 10.3969/j.issn.1671-4091.2014.05.015

• 中心管理与技术 • 上一篇    下一篇

2013年昆山地区血液透析患者现状的单中心调查

刘其锋,叶建明,郁丽霞,熊燕,孙强,薛丽莉,董晓红   

  1. 江苏省昆山市第一人民医院肾内科
  • 收稿日期:2013-10-29 修回日期:2013-12-17 出版日期:2014-05-12 发布日期:2014-05-11
  • 通讯作者: 董晓红 dongxiaohong304@163.com E-mail:dongxiaohong304@163.com

Epidemiological investigation of maintenance hemodialysis patients in 2013 in a single center in Kunshan area

  • Received:2013-10-29 Revised:2013-12-17 Online:2014-05-12 Published:2014-05-11

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摘要： 目的 通过对2013年8月昆山第一人民医院维持性血液透析患者的横断面调查，了解血透患者的现状。方法 收集2013年8月在江苏大学附属昆山医院血透室透析龄大于3个月的患者共242例，分析患者年龄、性别、透前肌酐、透析龄、血色素、血清钙、磷水平、钙磷乘积、iPTH结果，并进行统计分析。结果 242例患者中，男134例(占55.4%)，女108例(占44.6%)，男女比例为1.24：1；原发病构成上，前三位分别为慢性肾小球肾炎132例(54.54％)，糖尿病肾病25例(10.33％)，高血压肾损害19例(7.85％)，其中不能明确原发病因者39例（16.11%）；Hb＜110 g/L 148例（61.16%）；206例（85.12%）存在钙磷代谢紊乱（包括高钙、低钙、高磷、低磷的患者），96例（39.66%）钙磷乘积＞4.52mmol2/L2 在接受全段甲状旁腺激素（iPTH）检查的236例患者中，iPTH＜150 ng/L有78例（33.05%），PTH＞600 ng/L有32例（13.56%）结论 本中心患者男性略多于女性，尿毒症发病年龄趋于年轻化，慢性肾炎仍是ESRD的第一位原因； Hb达标率低，相当多的患者存在钙磷代谢紊乱及继发性甲状旁腺激素机能亢进。

关键词: 维持性血液透析, 钙磷代谢紊乱, 全段甲状旁腺激素

Abstract: Objective To investigate the situation of maintenance hemodialysis (MHD) patients, a cross-sectional study was conducted and data were analyzed. Methods We invstigated 242 MHD patients whose dialysis age more than 3 months and treated in this hemodialysis centre in August 2013 and compared these data with the guidelines. We also analyzed age, gender, years for dialysis, Hb, renal function, serum Ca, serum phosphate, Ca×P product and iPTH in these patients. Results In the 242 patients, there are 134 (55.4%) male, 108 (44.6%) of female, and the male to female ratio was 1.24:1. The most common causes of end-stage renal diseases (ESRD) in these hemodialysis patients were chronic glomerulonephritis(54.54%)，diabetic nephropathy(10.33)，and hypertensive renal damage (7.85%). 148(61.16%) cases of Hb, 208(85.12%) cases of calcium and phosphorus metabolism（Including patients with hypercalcemia, hypocalcemia, hyperphosphatemia and hypophosphatemia）, 96(39.66%)cases Ca×P product and 110(46.61%)cases of iPTH couldn’t meet the requirements of the guidelines. Conclusions In Kunshan, there are more male patients and MHD patients are more younger. The main causes of ESRD patients on hemodialysis are still chronic glomerulonephritis. There are large number of patients with low compliance rate of Hb and disorders of calcium and phosphorus metabolism and secondary hyperparathyroidism.

Key words: maintenance hemodialysis (MHD), disorders of calcium and phosphorus metabolism, intact parathyroid hormone (iPTH)