中国血液净化

›› 2005, Vol. 4 ›› Issue (5): 235-238.

• 论著 • 上一篇    下一篇

2001例血液透析患者病因分析及高血压和贫血治疗状况

中国人民解放军肾脏病专业协作组   

  1. 100853 中国人民解放军肾脏病专业协作组
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2005-05-12 发布日期:2005-05-12
  • 通讯作者: 陈香美

  • Received:1900-01-01 Revised:1900-01-01 Online:2005-05-12 Published:2005-05-12

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摘要：

目的 为初步调查我国血液透析患者的主要病因及治疗状况，对分布全国28个省市自治区的分军队医院现有血液透析患者共2 001例的病因、目前促红细胞生成素使用及贫血治疗、高血压治疗状况、血浆白蛋白及血脂水平等进行了调查。结果 2 001例血液透析患者中原发性肾小球肾炎占49.07％、高血压肾损害占16.99％、糖尿病肾病占12.04％，在2 001例血液透析患者中，高血压患者的比率达81.51％，高血压控制常需多种降压药联合应用。血压控制低于140/90mmHg(1mmHg=0.133Kpa)水平者占58.98％。有85.51%的透析患者使用了促红细胞生成素，血红蛋白（Hb）≥90g/L的患者占使用促红细胞生成素患者的54.18％，Hb>110 g/L者为16.78％。有33.33％患者血浆白蛋白水平低于35g/L,有12.14％患者血浆白蛋白水平低于30g/L。结论 我国血液透析患者的病因主要是原发性肾小球肾炎、高血压肾损害、糖尿病肾病，高血压和贫血治疗效果欠满意。

关键词: 血液透析, 病因, 血压, 促红细胞生成素, 贫血

Abstract:

Objective To investigate the main etiologic and treatment status of maintain hemodialysis patients, 2001 cases were analyzed in the causes of ESRD, the status of erythropoietin`s application, treatment of anti-hypertension, the level of plasma albumin, and total cholesterol level. Results Chronic glomerulonephritis accounted for 49.07% as the leading cause of ESRD, followed by hypertensive nephropathy (16.99%), and diabetic nephropathy(12.04%). the mobidity of hypertension is 81.51%, which need multiple drugs in the anti-hypertension treatment. The patients with blood pressure <140/90 mmHg is 58.98%. The use rate of erythropoietin is 85.51%. There are 48.33% patients whose Hb reach higher than 90g/L. Hb>110g/L rate is 16.89%. There are 33.33% patient whose plasma albumin concentrateion is<35g/L. and there are 12.14% patients whose plasma albumin concentration is <30 g/L. Conclusion Chronic glomerulonephritis, hypertensive nephropathy, diabetic nephropathy are the main causes of ESRD, The effect of anti-hypertension and renal anemia treatment is unsatisfactory.

Key words: Etiologic analysis, Hypertension, Erythropoietin, Anemia

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