中国血液净化

›› 2010, Vol. 9 ›› Issue (4): 227-229.

• 血液净化中心管理与技术 • 上一篇    下一篇

血液净化中心管理与技术

李明旭 陈 洪 周春华   

  1. 北京海军总医院肾内科
  • 收稿日期:2009-11-06 修回日期:1900-01-01 出版日期:2010-04-12 发布日期:2010-04-12

The incidence of cerebro-cardiovascular diseases in hemodialysis patients at the beginning of hemodialysis treatment: analysis of the data in Beijing area in 2007 from Beijing Hemodialysis Quality Control & Improvement Center (BJHDQCIC)

LI Ming-xu, CHEN Hong, Zhou Chun-hua   

  1. Nephrology Department, Navy General Hospital, Beijing 100048, China
  • Received:2009-11-06 Revised:1900-01-01 Online:2010-04-12 Published:2010-04-12

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摘要：

【摘要】 目的 统计并分析2007年北京地区在透血液透析患者进入透析时心脑血管并发症患病率。方法 北京市血液透析质量控制和改进中心(Beijing Hemodialysis Quality Control & Improvement Center,BJHDQCIC)收集北京地区各血液透析中心2007年在透血液透析患者资料，大多数血液透析中心使用北京市汇百通公司“血液透析管理软件”，部分使用access数据库上报。BJHDQCIC将access数据库和汇百通数据库合并形成包含所有上报信息的数据库。结果 2007年在透患者共7795例，92.4%性别资料完整，(男性51.9%，女性48.1%)。2007年在透患者致病原因前四位依次为慢性肾炎(30.8%)，糖尿病肾病(21.0%)，高血压(14.7%)，慢性间质性肾炎(10.7%)，是北京地区维持性血液透析患者的主要病因(共77.2%)。41～70岁是在透患者主要年龄段，共占63.6%。在透患者首次透析时缺血性心脏病患病率为43.5%；心肌梗死患病率为13.8%；心律失常患病率为30.5%。充血性心力衰竭患病率为48.4%，高血压患病率为87.7%。脑血管病患病率为19.6%。外周血管病患病率为12.9%。 结论 提示在透患者心血管疾病(cardiavascular disease,CVD)、脑血管意外(cerebrovascular accidents,CVA)的患病率较高；要充分认识终末期肾病患者合并CVD、CVA的危险性，积极预防和控制CVD、CVA传统的危险因素如高血压、糖尿病等。

关键词: 血液透析, 心脑血管疾病, 统计学分析

Abstract:

【Abstract】 Objective To investigate the prevalence of cerebro-cardiovascular diseases in maintenance hemodialysis (MHD) patients at the beginning of hemodialysis treatment in Beijing area in 2007. Methods The data of MHD patients in hemodialysis centers in Beijing area in 2007 were collected by Beijing Hemodialysis Quality Control & Improvement Center (BJHDQCIC). Most hemodialysis centers used the Hemodialysis Management Software from Hui Bai Tong Co. Beijing, and some centers used Access as the software for data management. BJHDQCIC combined the 2 kinds of data into a database using Hemodialysis Management Software. Results In 2007 in Beijing area, 7795 cases were on MHD treatment. Gender record was found in 92.4% patients, and 51.9% of them were males and 48.1% were females. The first 4 disease causes which accounted for 77.2% MHD patients were chronic nephritis (30.8%), diabetic nephropathy (21.0%), hypertension (14.7%), and chronic interstitial nephritis (10.7%). Patients’ age ranged mainly in 41-70 years old, which accounted for 63.6% of MHD patients. At the beginning of MHD treatment, 43.5% patients were found to be complicated with ischemic heart disease, 13.8% with myocardial infarction, 30.5% with arrhythmia, 48.4% with congestive heart failure, 87.7% with hypertension, 19.6% with cerebrovascular disease, and 12.9% with peripheral vascular disease. Conclusion The incidence of cerebro-cardiovascular diseases was higher in patients on MHD treatment. Therefore, the risks of cerebro-cardiovascular diseases and cerebrovascular accidents should always be considered in end stage renal disease patients, and the risk factors for cerebro-cardiovascular diseases, such as hypertension and diabetes, must be carefully controlled and prevented.

Key words: Cerebrocardiovascular disease, Statistical analysis