CAJ | 학술논문

时比分析农村与城镇终末期肾病患者的临床状况,旨在了解新农合政策带给农村终末期肾病患者的益处及今后还需完善和努力之处.对广西壮族自治区人民医院血液净化治疗中心2007年新增的238例终末期肾病患者按农村与城镇进行分组对比分析.96例农村患者,88例选择血液透析,8例放弃治疗;142例城镇患者,23例选择腹膜透析,108例血液透析,11例放弃.无论是城镇还是农村患者慢性肾炎为主要的原发病、都存在透析过晚、并发症发生率高、急诊透析率高的现象.与城镇组相比,农村组患者平均年龄、肾痛知晓率、残余肾功能、血红蛋白、二氧化碳结合力、尿素清除指数低于城镇组(P<0.05);梗阻性肾病发病率、并发症发生率、急诊透析率、死亡率、失访率高于城镇组(P<0.05).新农合的实施使农村终末期肾病患者获得了治疗的机会,针对农村患者肾病知晓率低、临床状况差的特点,需加强农村慢性肾病的防治工作.
시비분석농촌여성진종말기신병환자적림상상황,지재료해신농합정책대급농촌종말기신병환자적익처급금후환수완선화노력지처.대엄서장족자치구인민의원혈액정화치료중심2007년신증적238례종말기신병환자안농촌여성진진행분조대비분석.96례농촌환자,88례선택혈액투석,8례방기치료;142례성진환자,23례선택복막투석,108례혈액투석,11례방기.무론시성진환시농촌환자만성신염위주요적원발병、도존재투석과만、병발증발생솔고、급진투석솔고적현상.여성진조상비,농촌조환자평균년령、신통지효솔、잔여신공능、혈홍단백、이양화탄결합력、뇨소청제지수저우성진조(P<0.05);경조성신병발병솔、병발증발생솔、급진투석솔、사망솔、실방솔고우성진조(P<0.05).신농합적실시사농촌종말기신병환자획득료치료적궤회,침대농촌환자신병지효솔저、림상상황차적특점,수가강농촌만성신병적방치공작.
To compare the clinical conditions between the rural and urban patients with end stage of renal disease (ESRD),238 patients (96 rural and 142 urban patients)enrolled in 2007 were included in the study. Patients' laboratory data, resid-ual renal function, nutritional status, cause of renal failure, morbidities and mortality were evaluated. Glomerulonephritis was the main primary disease of ESRD in both groups. Both of two groups had high rates of delay dialysis, morbidities and emergent dialysis. Compared with urban patients, the rural patients were younger(47. 2 vs. 54. 6 years), the rates of knowledge(12.5% vs. 52.8%), Ccr(4.9 vs. 7.9 ml/min), serum hemoglobin(5.9 vs. 8.4 g/L), bicarbonate(9.6 vs.13.2 retool/L), KT/V(4.9 vs. 7.9) were significantly lower(P<0. 05). The rates of emergent dialysis (79.2% vs.33.8 %), morbidities(100. 0 % vs. 78.9 %), mortality(28.1% vs. 17.6 %), failed to follow up(26.0 % vs. 12.00%) were significantly higher(P<0.05). Compared with urban patients with ESRD, rural patients had higher rate of constructive nephropathy, lower rate of known nephrosis, the clinical statues were worse. The government and society should paid more attention to rural patients with ESRD.