浅谈终末期肾脏疾病血液透析患者的临床特点
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- 论文作者：邓武成
- 年：2016
- 作者机构：四川广元市第四人民医院肾内科;
- 论文关键词：血液透析 ; 终末期肾脏疾病 ; 临床特点 ; 研究
- 英文论文关键词：Hemodialysis ; End-stage renal disease ; Clinical characteristics
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R692
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1899k
- 原文格式：D
- 会议级别：全国
摘要
目的:主要对我院治疗的终末期肾脏疾病血液透析患者临床特点进行分析,从而通过研究能够给终末期肾脏疾病的临床可靠的资料。方法:随机选择2014年2月-2015年2月,到我院接受整治的100例血液透析治疗的终末期肾脏疾病患者进行研究,分别对其双肾、双眼底、肌酐尿常规、膀胱B超、血磷等项目进行临床检查,同时按照检查的结果,对患者的病发特点分析。结果:经过研究后发现,在终末期肾脏疾病的病发群体中,41-60岁属于病发的高群体,并且通过研究得出男性病发率要比女性病发率要高(P<0.05)。在病发患者疾病发生过程中,多数以高血压肾病、糖尿病肾病、慢性肾小球肾炎疾病为主。在本次100例患者研究中,其中持续血液透析患者治疗占35例,有39例死亡,有12例患者接受转院治疗,有9例实施了肾脏移植治疗,还有4例进行了腹膜透析治疗,1例放弃治疗。结论:通过分析可知在终末期肾脏疾病患人群中,中老年人是病发的高危群体,并且男性的患病率远远高于女性患者,原发的主要病态以糖尿病肾病、慢性肾小球炎为主。基于此,在实践过程中,对该病发体的人群进行重点研究,强化病发疾病的监控与管制,保证患者的健康显得格外重要。
Objective: To analyze the clinical characteristics of hemodialysis patients with end-stage renal disease treated by our hospital, so as to study the reliable clinical data of endstage renal disease. Methods: From February 2014 to February 2015, 100 patients with end-stage renal disease underwent hemodialysis treatment in our hospital. Their renal, fundus, creatinineand bladder B-ultrasonography were studied., Blood phosphorus and other items of clinical examination, according to the outcomings of the examination, the characteristics of the disease patients. Results: In the end-stage renal disease group, 41-60 years old belonged to the high-risk group, and the incidence of males was higher than that of females(P <0.05).). In the process of diseaseonset in patients with disease, the majority of hypertensive nephropathy, diabetic nephropathy, chronic glomerulonephritis-based disease. Of the 100 patients studied, 35 were on hemodialysis, 39 died, 12 on dialect, 9 on renal transplantation, and 4 on peritoneal dialysis, 1 case to give up treatment. Conclusion: In the end- stage renal disease patients, middle- aged and elderly peopleare the high- risk groups of the disease, and the prevalence of males is much higher than that of female patients. The main pathological changes are diabetic nephropathy, chronic glomerular Mainlyinflammation. Based on this, in the course of practice, focus on the study of the population of the disease, and strengthen the monitoring of disease control and control, to ensure the health of patientsis particularly important.
Objective: To analyze the clinical characteristics of hemodialysis patients with end-stage renal disease treated by our hospital, so as to study the reliable clinical data of endstage renal disease. Methods: From February 2014 to February 2015, 100 patients with end-stage renal disease underwent hemodialysis treatment in our hospital. Their renal, fundus, creatinineand bladder B-ultrasonography were studied., Blood phosphorus and other items of clinical examination, according to the outcomings of the examination, the characteristics of the disease patients. Results: In the end-stage renal disease group, 41-60 years old belonged to the high-risk group, and the incidence of males was higher than that of females(P <0.05).). In the process of diseaseonset in patients with disease, the majority of hypertensive nephropathy, diabetic nephropathy, chronic glomerulonephritis-based disease. Of the 100 patients studied, 35 were on hemodialysis, 39 died, 12 on dialect, 9 on renal transplantation, and 4 on peritoneal dialysis, 1 case to give up treatment. Conclusion: In the end- stage renal disease patients, middle- aged and elderly peopleare the high- risk groups of the disease, and the prevalence of males is much higher than that of female patients. The main pathological changes are diabetic nephropathy, chronic glomerular Mainlyinflammation. Based on this, in the course of practice, focus on the study of the population of the disease, and strengthen the monitoring of disease control and control, to ensure the health of patientsis particularly important.
引文
[1]张小云,於建根,杨爱华.五年以上血液透析患者的心脏改变和影响因素及预后分析[J].中国医师进修杂志.2015(06):63-64.
[2]晏丽云,晏萍英,张竞雄.肾内科血液透析患者医院感染的特点分析[J].中华医院感染学杂志.2015(09):137-138.
[3]姚洁,诸伟红,葛玉英,陈科威,王秋妹.慢性肾功能衰竭血液透析患者医院感染病原菌分布与临床特征分析[J].中华医院感染学杂志.2015(10):75-76.
[4]李子芊,周亦伦.维持性血液透析患者血压变异与心血管疾病研究进展[J].中国血液净化.2015(02):104-105.
[5]沈晓洁,吴灏,余日臻,孔德亮,郭志勇,许静.血液透析患者营养状况与逆流行病学现象的探讨[J].第二军医大学学报.2015(01):96.
[6]龚智峰,唐盛,闭闵,彭小梅,吴潮清,张文欣,叶琨.广西城市维持性血液透析患者流行病学和原发病因调查分析[J].广西医科大学学报.2009(06)
[2]晏丽云,晏萍英,张竞雄.肾内科血液透析患者医院感染的特点分析[J].中华医院感染学杂志.2015(09):137-138.
[3]姚洁,诸伟红,葛玉英,陈科威,王秋妹.慢性肾功能衰竭血液透析患者医院感染病原菌分布与临床特征分析[J].中华医院感染学杂志.2015(10):75-76.
[4]李子芊,周亦伦.维持性血液透析患者血压变异与心血管疾病研究进展[J].中国血液净化.2015(02):104-105.
[5]沈晓洁,吴灏,余日臻,孔德亮,郭志勇,许静.血液透析患者营养状况与逆流行病学现象的探讨[J].第二军医大学学报.2015(01):96.
[6]龚智峰,唐盛,闭闵,彭小梅,吴潮清,张文欣,叶琨.广西城市维持性血液透析患者流行病学和原发病因调查分析[J].广西医科大学学报.2009(06)