国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2009年
5期
17-19
,共3页
终末期肾病%透析时机%血液透析
終末期腎病%透析時機%血液透析
종말기신병%투석시궤%혈액투석
End stage renal disease%Timing of dialysis%Hemodialysis
目的 评估基层医院终末期肾病患者的透析时机,探讨过晚透析的影响因素及改进措施.方法 以郸城县人民医院透析科2007年7月1日至2009年7月1日开始透析的所有非糖尿病性终末期肾病患者为研究对象,分析其开始透析时血肌酐、肾小球滤过率、尿毒症症状、尿毒症心、脑血管并发症、首次透析情况,调查过晚透析的影响因素.结果 (1)进入透析时肾小球滤过率平均为(3.6±0.9)ml/min;(2)所有患者均有尿毒症并发症、营养状态下降,30.4%患者需急诊透析;(3)91.3%患者系透析时机过晚,其原因以经济原因多见,其次与就诊晚和认识不足有关.结论 基层医院开始血液透析的终末期肾病患者多数为透析时机过晚.经济原因、就诊过晚及认识不足是影响透析时机的关键因素.
目的 評估基層醫院終末期腎病患者的透析時機,探討過晚透析的影響因素及改進措施.方法 以鄲城縣人民醫院透析科2007年7月1日至2009年7月1日開始透析的所有非糖尿病性終末期腎病患者為研究對象,分析其開始透析時血肌酐、腎小毬濾過率、尿毒癥癥狀、尿毒癥心、腦血管併髮癥、首次透析情況,調查過晚透析的影響因素.結果 (1)進入透析時腎小毬濾過率平均為(3.6±0.9)ml/min;(2)所有患者均有尿毒癥併髮癥、營養狀態下降,30.4%患者需急診透析;(3)91.3%患者繫透析時機過晚,其原因以經濟原因多見,其次與就診晚和認識不足有關.結論 基層醫院開始血液透析的終末期腎病患者多數為透析時機過晚.經濟原因、就診過晚及認識不足是影響透析時機的關鍵因素.
목적 평고기층의원종말기신병환자적투석시궤,탐토과만투석적영향인소급개진조시.방법 이단성현인민의원투석과2007년7월1일지2009년7월1일개시투석적소유비당뇨병성종말기신병환자위연구대상,분석기개시투석시혈기항、신소구려과솔、뇨독증증상、뇨독증심、뇌혈관병발증、수차투석정황,조사과만투석적영향인소.결과 (1)진입투석시신소구려과솔평균위(3.6±0.9)ml/min;(2)소유환자균유뇨독증병발증、영양상태하강,30.4%환자수급진투석;(3)91.3%환자계투석시궤과만,기원인이경제원인다견,기차여취진만화인식불족유관.결론 기층의원개시혈액투석적종말기신병환자다수위투석시궤과만.경제원인、취진과만급인식불족시영향투석시궤적관건인소.
Objective To evaluate the timing of hemodialysis in patients with end stage renal dis-ease (ESRD) and to approach its influencing factors and improving measure. Methods A cohort of 23 pa-tients with non- diabetic ESRD in the People' s hospital of Dancheng country during July 1st, 2007 to July 1st, 2009 were studied. The data of serum creatinine before hemodialysis, GFR[measured by the MDRD for-mula (eGFR)], symptom of urinaemia, cardiac and cerebrovascular complication and also the condition of the fast hemodialysis were collected in order to find out the factors that affect the delay of hemodialysis. the patients had complications of urinaemia, else with the dystrophy, and 30.4% of them required emergent hemodialysis. (3)The timig of hemodialysis was late in 91.3% patients, mainly cause of the delayed dialysis was financial reasons, then was late diagnosis and shortage of related ESRD knowledge. Conclusions Most of the ESRD patients in country hospital were late for homodialysis. The key rented factors are economic status, delayed diagnosis and shortage of rented ESRD knowledge in patiens, which result in being late for hospital.
