165例维持性透析患者再次住院病因及再住院率的调查分析  

Analysis of the Etiology and the Rate of the Rehospitalization in 165 Maintenance Dialysis Patients

作　　者：陈伟 王雪剑[2] 张军峰[2] 张献朝 

机构地区：[1]厦门长庚医院肾脏科,福建厦门361000 [2]平顶山市第一人民医院肾内科,河南平顶山467000

出　　处：《中国医药指南》2013年第22期62-63,共2页Guide of China Medicine

摘　　要：目的本研究旨在通过对维持性透析患者再次住院病因及再住院率的调查分析,以期针对性地采取有效的干预措施,降低其再住院率,提高生存率。方法对165例维持性透析患者在2007年12月至2011年11月4年间的再次住院病因及再住院率进行回顾性的调查分析。结果 71例维持性血液透析患者的再次住院病因及再住院率的前3位依次为急性心力衰竭、肺部感染、脑血管意外;而94例维持性腹膜透析患者的再次住院病因及再住院率的前3位依次为腹膜透析相关性腹膜炎、急性心力衰竭、隧道感染。老年人和糖尿病患者在维持性透析患者再住院率中分别占90%、92%。结论重视维持性透析患者相关并发症的治疗,特别是老年和糖尿病患者,是切实降低维持性透析患者再住院率的一个重要方面。Objective To Analysis of the etiology and the rate of the rehospitalization in 165 maintenance dialysis patients. Methods From December 2007 to November 2011, the etiology and the rate of the rehospitalization in 165 cases of maintenance bemodialysis and peritoneal dialysis patients, were analyzed retrospectively. Results The top three of the etiology and the rate of the rebospitalization in 71 maintenance hemodialysis patients is acute heart failure, pulmonitis and cerebmvascular accident. Meanwhile that of 94 maintenance Peritoneal dialysis patients is peritoneal dialysis correlation peritonitis, acute heart failure and tunnel infection. The rehospitalization rates of elderly and diabetes patients in the maintenance dialysis patients are 90%, 92%. Conclusion Pay more attention to deal with concomitant of maintenance dialysis patients, especially the elderly and diabetes patients, and thus we can really reduce rehospitalization rates in maintenance dialysis patients.

关 键 词：维持性透析 再住院 防治 

分 类 号：R459.5[医药卫生—治疗学]