›› 2010, Vol. 9 ›› Issue (1): 47-49.

• 血液净化中心管理与技术 • 上一篇    下一篇

我国面临快速增长的终末期肾病治疗负担

中国医院协会血液净化中心管理分会血液透析登记组   

  • 收稿日期:2009-12-03 修回日期:1900-01-01 出版日期:2010-01-12 发布日期:2010-01-12

  • Received:2009-12-03 Revised:1900-01-01 Online:2010-01-12 Published:2010-01-12

摘要:

【摘要】目的 报告2008年我国终末期肾脏病维持性透析患病率和发病率,并估计未来维持性透析的趋势。 材料和方法 中国医院协会血液净化中心管理分会制定调查表,以透析登记软件及纸质版形式下发至各省、自治区和直辖市的血液净化中心管理分会/血液净化质量控制中心,收集各透析室的数据,包括2007年底和2008年底患者数量,以及2008年新进入透析的患者数量;这些患者的性别和年龄构成;导致终末期肾脏病(ESRD)的原因以及所有死亡患者的原因。分析2007和2008年底ESRD的点患病率、2008年ESRD发病率、ESRD病因以及死亡原因构成。结果 全国31个省、自治区和直辖市中,27个应答。2007年底,共报告65074例ESRD患者,点患病率为每百万人口51.7;2008年底患病人数增至102863,点患病率为每百万人口79.1,患病率增长52.9%。2008年ESRD新患者数为45423例,发病率每百万人口36.1。ESRD的病因依次为肾小球肾炎(45%)、糖尿病(19%)、高血压(13%)、多囊肾病(2%)和其他或未知(20%)。ESRD主要死亡原因是心血管疾病(31%)、中风(20.3%)、感染(19.9%)和其他(28.8%)。结论 虽然我国ESRD的患病率显著低于其他亚洲国家和地区,但发病率极高,未来几年患病率也将快速增加,从而增加我国ESRD的治疗负担。

关键词: 血液净化, 终末期肾脏病, 登记, 患病率, 发病率

Abstract:

【Abstract】】Aims To illustrate the incidence and prevalence of ESRD in Mainland China, and estimate future trends in their prevalence.Materials and methods: The Chinese Society of Blood Purification (CSBP) produced a survey form. The form was designed for use at the facility level, rather than at the patient level. The data were those prevailing at the end of 2008, ie, the total number of patients at the end of 2007 and the number of new patients during the year 2008; numbers of males and females and each of the age groups; numbers of diabetes, hypertension, polycystic kidney disease, chronic interstitial nephritis, etc. as primary cause of ESRD; and numbers of cardiovascular disease, stroke, infection, etc. as primary cause of death. The forms were distributed to each dialysis facility, and returned to CSBP for analysis. The point prevalence of ESRD patients on maintenance hemodialysis (MHD) at the end of 2007 and 2008, and the annual incidence in 2008 were calculated. The primary cause of ESRD and primary cause of death were also reported. Results: Among 31 provinces and/or regions, 27 responded. In the end of 2007, there were totally 65 074 ESRD patients on MHD or PD; the point prevalence was estimated to be 51.7 per million populations around Mainland China. The number increased to 102,863 in the end of 2008; point prevalence increased to 79.1 per million populations. The annual increasing rate of prevalence was 52.9%. The number of new ESRD patients was 45,423;the annual incidence was 36.1 per million populations in the year 2008. The main causes of ESRD were glomerulonephritis (45%), diabetes (19%), hypertension (13%), polycystic kidney disease (2%) and others or unknown (20%). The main cause of death was cardiovascular (31.0%), stroke (20.3%), infection (19.9%) and others (28.8%). Conclusions Although the prevalence was relatively low compared with other Asian regions, the incidence of MHD was high. Mainland China is anticipating an increasing burden of ESRD in the near future.

Key words: end stage renal discase, registry, prevalence, incidence