1 108例终末期肾脏疾病血液透析病人原发疾病构成及相关因素分析  

Analysis of Etiologic and Related Factors of 1 108 ESRD Patients With Hemodialysis

作　　者：李健芝[1] 彭佑铭[2] 周平[3] 辜旭辉[4] 刘虹[2] 刘伏友[2] 

机构地区：[1]南华大学护理学院,湖南衡阳421001 [2]中南大学湘雅二医院肾内科 [3]株洲市一医院肾内科 [4]南华大学第二附属医院肾内科

出　　处：《南华大学学报（医学版）》2005年第4期495-498,共4页Journal of Nanhua University(Medical Edition)

摘　　要：目的回顾性研究终末期肾脏疾病(end stage renal disease,ESRD)血液透析病人原发疾病构成及其相关因素。方法收集ESRD血液透析病人1 108例,分析其原发疾病构成、年龄、性别、透析治疗持续时间、转归、生存率和死亡原因。结果301例病人透析时间超过3个月,其中43.9%仍在进行血液透析治疗,最长者已存活13年;13.0%病人已行肾脏移植;19.9%转至外院治疗;7.3%改为腹膜透析;1.3%因经济困难放弃治疗;14.6%病人死亡。ESRD维持性血液透析病人1年生存率为93.53%,3年生存率为68.92%,5年生存率62.51%。死亡原因为心血管事件占54.5%,脑血管意外占20.5%。结论本组病人以中、老年为主,男性多见。ESRD血液透析病人主要原发疾病为慢性肾小球肾炎,主要死亡原因为心血管事件和脑血管意外。Objective To analyze the etiology and the related factors of end stage renal disease（ESRD） with hernodialysis. Methods This is a retrospective analysis which included 1108 ESRD with hernodialysis（HD） patients. Data on the etiology, demographic and epidemiologic aspects of these patients were examined, life expectancy and mortality rate were calculated. Results The number of ESRD maintenance hemodialysis patients was 301, among which 43.9% remained MHD, 13.0% received renal transplantation, 19.9% transferred to other hospitals for hemodialysis, 7.3% became peritoneal dialysis , 14.6% died and 1.3 % ceased treament because of money. The longest maintenance hemodialysis duration was 13 years, the Ist- year , 3rd - year and 5th - year survial rate of 132 maintenance hemodialysis patients was 93.53% ,68.92% and 62.51% respectively. The first cause of death was cardiovascular accidence （54.5%） ,and then cerebrovascular disorder（20.5% ）. Conclusion In this group of ESRD with hemodialysis patients, the age of starting dialysis was 30 - 70 and the main cause was Chronic glomerulonephritis. The first cause of death was cardiovascular accidence, and then cerebrovascular disorder.

关 键 词：终末期肾脏疾病 血液透析 原发疾病 生存率 

分 类 号：R692.5[医药卫生—泌尿科学]