›› 2009, Vol. 8 ›› Issue (12): 680-683.

• 血液净化中心管理与技术 • 上一篇    

2007年度北京地区血液透析患者透析龄调查分析

陈凤锟 李冀军 宋 岩   

  1. 解放军总医院第一附属医院肾内科
  • 收稿日期:2009-09-17 修回日期:1900-01-01 出版日期:2009-12-12 发布日期:2009-12-12
  • 通讯作者: 李冀军

Analysis of dialysis age in hemodialysis patients in 2007 Beijing

  1. Department of Nephrology, The First Affiliated Hospital of PLA General Hospital, Beijing 100048.
  • Received:2009-09-17 Revised:1900-01-01 Online:2009-12-12 Published:2009-12-12

摘要:

【摘要】目的 分析北京地区109个血透单位2007年度血透病人的登记资料,了解血透病人的流行病学规律。方法 根据该年度北京地区109个血透单位5065例透析龄资料完整的病例,根据病人透析龄及相应的性别、年龄、原发病进行分层分析。 结果 随着透析龄延长,坚持血液透析的病人逐渐减少。透析龄在1~2年的病人数仅为透析龄0~1年的46.0%,其后透析龄每增加1年,剩余病人数是前一透析龄的75.0%左右。男女病人逐年退出的比例都与总体病人的退出规律相类似,但女性病人坚持透析的时间明显长于男性。50~80岁的病人在各个透析龄段人数均最多;30岁以下和80岁以上的病人在0~1年的透析龄中所占比例偏高(分别为59.5%和41.0%),而至透析龄1~2年时其下滑的幅度大于其它年龄段病人。原发病以原发和继发肾小球疾病所占比例最高,透析龄均数也最长。 结论 随着透析龄增长,坚持血透的人数减少,透析第1年前后退出的人数最多,以后退出人数似乎遵循着一定的比例。女性的平均透析龄长于男性。30~80岁病人人数在各个透析龄段均高于其它年龄段。不同原发病透析龄存在着差异。
【主题词】

关键词: 尿毒症, 肾透析, 时间因素, 流行病学, 性别分布, 年龄分布

Abstract:

【Abstract】 Objective To understand the epidemiology of hemodialysis patients by analyzing the registration data of hemodialysis patients from 109 blood purification units in Beijing in 2007. Methods Based on patients’ age, gender and primary disease, we stratified the dialysis age of the 5065 patients with detailed information collected from the 109 dialysis units. Results The number of maintenance hemodialysis patients reduced gradually with the increasing of dialysis age. The number of patients with dialysis age 1~2 years decreased to 46.0% of the ones with dialysis age 0~1 year. Thereafter, the patient number in a dialysis age group was about 75% of the number in a dialysis age less one year group. The male-to-female ratio in patients withdrawing from dialysis was similar to the ratio in the patients as a whole. However, female patients seem to endure dialysis better than male patients. In every dialysis age group, the patients at 50-80 years old were the largest subgroup. The ratios of those younger than 30 years old and older than 80 years old were remarkably high (59.5% and 41.0%, respectively) in the patient group of dialysis age 0-1 year, but the ratios decreased greater than other age subgroups in the dialysis age 1-2 years group. The major primary diseases leading to hemodialysis were primary and secondary glomerular diseases, with which patients usually had longer dialysis age. Conclusion The number of maintenance hemodialysis patients decreased with the increase of dialysis age. The highest rate of patients withdrawing from dialysis was found around the first year of dialysis, and then decreased and changed within a limited range. The average dialysis age was longer in women than in men. In every dialysis age group, the number of patients at 30-80 years of age was greater than that of other age subgroups. Primary diseases leading to hemodialysis correlated to the dialysis age.

Key words: Renal dialysis, Time factors, Epidemiology, Sex distribution, Age distribution