目的  调查西藏自治区血液透析中心人力资源与设备现状，为制定相关医疗政策提供参考。 方法  通过问卷与访谈，对西藏自治区所有血液透析中心的基本情况、人力资源、设备、技术等进行调查。 结果  截至2025年7月31日，西藏共有血液透析中心13家，其中7家(53.85%)位于拉萨市，全区所有县级医疗机构均未开展血液透析。目前全区共有维持性血液透析患者1062例，血液透析专业护士116名，专职医生17名，工程师6名，护患比为1:9.2，医患比为1:62.5。全区共开放透析机位282台，分别有92.31%、100.0%、100.0%的中心能够开展高通量血液透析、血液透析滤过、血液灌流等血液净化技术，能够开展连续性肾脏替代治疗、血浆置换、人工肝、内毒素吸附的中心分别占76.92%、53.85%、38.46%、23.08%。 结论  西藏自治区血液透析资源相对缺乏且分布不均，专科护士、医生及工程师等关键人员配置不足，高层次人才短缺。未来需加大对血液透析的政策支持，优化资源配置，加强人才队伍的引进和培养，促进全区血液透析中心的持续发展。

Objective  To investigate the current status of human resource and blood purification equipment in hemodialysis centers in Xizang Autonomous Region, and provide references for policy-making.  Methods A cross-sectional survey was conducted using questionnaires and on-site interviews to collect data of basic profiles, staffing, blood purification equipment, and technologies of all hemodialysis centers in Xizang Autonomous Region.  Results  As of July 31, 2025, there were 13 medical institutions providing hemodialysis services in Xizang, with 7 (53.85%) located in Lhasa. No county-level hospitals provided hemodialysis. The total number of maintenance hemodialysis patients was 1,062. These centers employed 116 registered nurses, resulting in a nurse-to-patient ratio of 1:9.2. There were 17 full-time physicians dedicated to hemodialysis, with a physician-to-patient ratio of 1:62.5. Six hemodialysis engineers were available across Xizang Autonomous Region. The 13 hemodialysis centers provided 282 dialysis machine stations. Most centers could offer conventional blood purification services including hemodialysis, hemodiafiltration and hemoperfusion. Continuous renal replacement therapy, plasma exchange, artificial liver support, and endotoxin adsorption could be conducted in 76.92%, 53.85%, 38.46% and 23.08% respectively of the centers.  Conclusions  Hemodialysis resources are relatively insufficient and unevenly distributed in Xizang Autonomous Region, especially with the shortages of professional nurses, physicians, engineers, and senior personnels. More policy support, optimized resource allocation, and enhanced recruitment and training of professionals are the key steps to promote sustainable development of hemodialysis services in Xizang.