【摘要】目的 分析北京市2007年血液透析患者血红蛋白达标情况及其与年龄、性别、原发病的关系。方法 根据北京市血液透析质量控制和改进中心(Beijing Hemodialysis Quality Control & Improvement Center,BJHDQCIC)提供的数据，阐述2007年在北京市血液透析中心新增和长期维持性血液透析患者的血红蛋白达标情况，并分析其与年龄、性别及原发病的关系。 结果 北京市2007年新增和长期维持性血液透析患者肾性贫血治疗的总达标率不足50%。性别差异是影响维持性血液透析患者肾性贫血治疗达标的因素之一，而年龄因素不是决定维持性血液透析患者血红蛋白达标的独立因素。新增血液透析患者中在不同性别和年龄组患者之间差异无统计学意义(P＞0.05)。在各种不同的原发病中，泌尿系统肿瘤患者血红蛋白达标率显著低于总体达标率，而溶血尿毒症综合症患者血红蛋白达标率显著高于总体达标率，但二者病例数均少。结论 北京市2007年新增和长期维持性血液透析患者肾性贫血治疗的总达标率明显低于国外水平。在长期血液透析患者中性别差异是影响维持性血液透析患者肾性贫血治疗达标的因素之一。

【Abstract】Objective To analyze the hemoglobin level of hemodialysis patients from Beijing Hemodialysis Qulity Control Improvement Center in 2007, and to investigate it抯 relationship with patients gender, age, and primary disease. Methods Based on the cross-sectional data provided by Beijing Hemodialysis Qulity Control Improvement Center（BJHDQCIC） in 2007, the hemoglobin level of prevalent and incident hemodialysis patients in Being were analysed. The relationship of hemoglobin level with patients gender, age and primary disease was further investigated. Results The overall up-to-standard rate of the hamoglobin in Beijing hemodialysis patients was no more than 50% in both prevalent and incident patients. Gender was one of factors that affected the up-to-standard rate of the hemoglobin in the prevalent patients, but not in the incident patients. Age didn抰 affect hemoglobin in either prevalent or incident patients. As to the up-to-standard rate of patients with different primary diseases, the patients with urinary system tumor had significantly higher up-to-standard rate and patients with hemolytic uremic syndrome had significantly lower up-to-standard rate than the overall up-to-standard rate respectively, but they both had relatively fewer cases. Conclusion The up-to-standard rate of the hemoglobin in Beijing hemodialysis patients were lower than other countries in both incident and prevalent hemodialysis patients. Gender was one of factors that affected the up-to-standard rate of the hemoglobin.