中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
z1期
8-10
,共3页
血液透析%终末期肾病%血红蛋白%甲状旁腺素%肿瘤
血液透析%終末期腎病%血紅蛋白%甲狀徬腺素%腫瘤
혈액투석%종말기신병%혈홍단백%갑상방선소%종류
Hemodialysis%End-staGe renal disease%HemoGlobin%Parathyroid hormone%Tumor
目的：探讨维持性血液透析患者的病因构成比、并发症及肿瘤发生现状。方法观察20l3年度我院维持血液透析患者222例，调查患者性别、年龄、原发病等基本情况，统计患者血红蛋白、钙、磷、甲状旁腺素浓度以及肿瘤发生情况。结果调查222例患者男女比例相当；原发病前5位分别为原发病中糖尿病肾病67例，占30.2%；高血压肾损害47例，占2l.2%；慢性肾小球肾炎40例，占l8.0%；多囊肾l5例，占6.8%；梗阻性肾病l2例，占5.4%。73例（32.0%）的患者血红蛋白达lll G/L目标值；l23例（55.2%）存在钙磷代谢紊乱；l05例（47.4%）甲状旁腺素水平升高；肿瘤发生率为7.6%（l7/222）。结论我院血液透析患者原发病主要是慢性肾小球肾炎、糖尿病肾病、高血压肾损害；血红蛋白、钙磷代谢、甲状旁腺素等水平达标率不高；肿瘤发生率较高。
目的：探討維持性血液透析患者的病因構成比、併髮癥及腫瘤髮生現狀。方法觀察20l3年度我院維持血液透析患者222例，調查患者性彆、年齡、原髮病等基本情況，統計患者血紅蛋白、鈣、燐、甲狀徬腺素濃度以及腫瘤髮生情況。結果調查222例患者男女比例相噹；原髮病前5位分彆為原髮病中糖尿病腎病67例，佔30.2%；高血壓腎損害47例，佔2l.2%；慢性腎小毬腎炎40例，佔l8.0%；多囊腎l5例，佔6.8%；梗阻性腎病l2例，佔5.4%。73例（32.0%）的患者血紅蛋白達lll G/L目標值；l23例（55.2%）存在鈣燐代謝紊亂；l05例（47.4%）甲狀徬腺素水平升高；腫瘤髮生率為7.6%（l7/222）。結論我院血液透析患者原髮病主要是慢性腎小毬腎炎、糖尿病腎病、高血壓腎損害；血紅蛋白、鈣燐代謝、甲狀徬腺素等水平達標率不高；腫瘤髮生率較高。
목적：탐토유지성혈액투석환자적병인구성비、병발증급종류발생현상。방법관찰20l3년도아원유지혈액투석환자222례，조사환자성별、년령、원발병등기본정황，통계환자혈홍단백、개、린、갑상방선소농도이급종류발생정황。결과조사222례환자남녀비례상당；원발병전5위분별위원발병중당뇨병신병67례，점30.2%；고혈압신손해47례，점2l.2%；만성신소구신염40례，점l8.0%；다낭신l5례，점6.8%；경조성신병l2례，점5.4%。73례（32.0%）적환자혈홍단백체lll G/L목표치；l23례（55.2%）존재개린대사문란；l05례（47.4%）갑상방선소수평승고；종류발생솔위7.6%（l7/222）。결론아원혈액투석환자원발병주요시만성신소구신염、당뇨병신병、고혈압신손해；혈홍단백、개린대사、갑상방선소등수평체표솔불고；종류발생솔교고。
Objective To investiGate the constituent ratio of etioloGy,complications and tumor occurrence of maintenance hemodialysis patients. Methods Obseved the patients with maintenance hemodialysis in ZhonGshan Hospital Affiliated to Dalian University in 20l3. The patientsˊ aGe,Gender, protopathy,and other basic information includinG statistics complication and tumor occurrence rate were surveyed. Results There was same ratio of male and female in 222 cases. The primary disease of diabetic nephropathy accounted for 30. 2%( 67 cases ),hypeertensive nephropathy 2l. 2%( 47 cases ),chronic Glomerulonephritis l8. 0%(40 cases),polycystic kidney 6. 8%(l5 cases),obstructiverenal injury accounted for 5. 4%(l2 cases)and other diseases. HemoGlobin of 73 cases(32. 0%)reached the tarGet value(lll G/L) . There was 55. 2% of patients ( l23 cases ) experienced calcium and phosphorus metabolism disorder. Parathyroid hormone levels of 47. 4% patients( l47 cases ) were hiGher than normal. The tumor incidence was 7. 6%( l7/222 ). Conclusion The major primary disease of the patients with maintenance hemodialysis are diabetic nephropathy,hypertension nephropathy and chronic Glomerulonephritis. The level of hemoGlobin,calcium and phosphorus metabolism disorder and parathyroid hormone are low. There is hiGh incidence of tumor.
