CAJ | 학술논문

目的了解自贡市慢性肾衰透析患者的流行病学资料。方法采用分层整群抽样的方法对自贡市375名慢性肾衰尿毒症透析时间大于3月的患者应用自行设计调查问卷进行流行病学调查。结果慢性肾衰原发病中原发性肾小球疾病68.53%；透析患者SBP、Hb、白蛋白、血钙、血磷、PTH达标率分别为45.87%、31.97%、42.15%、38.01%、30.65%、26.27%；维持性透析患者血管通路仅58.87%采用内瘘。结论慢性肾衰原发病仍以肾小球疾病为主，维持性透析患者血管通路的选择不科学，钙磷乘积、贫血、血压、PTH控制达标率不理想，需要加强慢性肾衰透析前管理、透析后质量控制。
목적료해자공시만성신쇠투석환자적류행병학자료。방법채용분층정군추양적방법대자공시375명만성신쇠뇨독증투석시간대우3월적환자응용자행설계조사문권진행류행병학조사。결과만성신쇠원발병중원발성신소구질병68.53%；투석환자SBP、Hb、백단백、혈개、혈린、PTH체표솔분별위45.87%、31.97%、42.15%、38.01%、30.65%、26.27%；유지성투석환자혈관통로부58.87%채용내루。결론만성신쇠원발병잉이신소구질병위주，유지성투석환자혈관통로적선택불과학，개린승적、빈혈、혈압、PTH공제체표솔불이상，수요가강만성신쇠투석전관리、투석후질량공제。
Objective To understand the zigong chronic renal failure of dialysis patients epidemiological data. Methods Using stratified cluster sampling method to zigong 375 chronic renal failure uremic dialysis time more than 3 months of patients with self-designed questionnaire for epidemiological survey. Results The incidence of chronic renal failure with the original primary glomerular disease, 68.53%; Dialysis patients SBP, Hb, albumin, blood calcium, phosphorus, PTH percentage of blood were 45.87%, 31.97%, 42.15%, 38.01%, 30.65%, 26.27%; The maintenance dialysis patients vascular access only 58.87% in the fistula. Conclusion Chronic renal failure the primary disease still with glomerular disease is given priority to, the maintenance dialysis patients of vascular access choose not to science, the calcium-phosphorus product, anemia, blood pressure, PTH control success rate is not ideal, we need to strengthen the management of chronic renal failure before dialysis, dialysis after quality control.