中国血液净化

›› 2004, Vol. 3 ›› Issue (4): 194-197.

• 论著 • 上一篇    下一篇

老年人糖尿病终末期肾病血液透析患者危险因素分析

张树新 杨铁城 伍 强 吴庆禧 周再生 崔惠敏   

  1. 518033 深圳， 广东医学院附属深圳市福田人民医院肾内科(张树新，杨铁城，伍强，吴庆禧); 528403 中山，广东省中山市人民医院（周再生，崔慧敏）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2004-04-12 发布日期:2004-04-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2004-04-12 Published:2004-04-12

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摘要：

目的 探讨影响老年糖尿病终末期肾病( ESDN)血液透析患者生活质量及长期存活的各种危险 因素，以期提高老年 ESDN血液透析患者整体治疗水平。方法 对23例老年(≥60岁)ESDN血液透析患者和同期透析58例同龄非糖尿病终末期肾病（NOR- ESDN）患者为对照组，回顾性分析了死亡原因、存活率、并发症、营养状态及血生化改变。结果 老年ESDN存活组1年、3年存活率分别为84.0%和36.0%。主要并发症是心血管病变为92.0%。主要死因是心血管病变（52.1%）。与NOR-ESDN组比较有显著差异。两组营养状态评估(SGA)均差，但ESDN的血浆白蛋白明显低于NOR-ESDN患者。结论 老年ESDN并发症发生率及病死率均比 NOR-ESDN患者高，存活率低。提高营养，防治并发症是提高存活率的关键。

关键词: 老年人, 糖尿病, 终末期肾病, 血液透析, 危险因素

Abstract:

Objective To investigate the risk factors which might affect the life quality and life span of elderly end stage renal disease(ESRD) hemodialysis patients due to diabetes mellitus(DM). Methods Twenty-three cases of ESRD hemo-dialysis patients of elderly DN were analysed retrospectively for causes of death, mortality rate, complications, nutritional status and blood biochemical test. Fifty-eight cases of ESRD hemodialysis patients of non- DN with the same age at the same period were taken as control. Results The vitality rates for 1 year and 3years of group DN were 84.0% and 36.0% respectively. Cardiovascular abnormality was the major complication occupying 92.0%. Threre was statistical significance comparing to group non_DN. The nutritional status were poor in both groups, but the serum albumin level of group DN was lower than that of group non_DN. Conclusions The mortality rate of elderly ESDN hemodialysis patients is higher than that of non_DN group. More complications were observed in DN group. Preventive treatment of complications is key to enhance life quality and life span.

Key words: Diabetes mellitus, End stage renal disease, Hemodialysis, Risk factors

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