南京市江宁地区慢性肾脏病就诊原因分析  

Cause of admission to hospital for chronic kidney disease： a survey in Jiangning areas of Nanjing

作　　者：袁自静[1] 刘猛[1] 徐川[1] 王涛 朱江[1] 

机构地区：[1]南京医科大学附属江宁医院,211100

出　　处：《国际移植与血液净化杂志》2014年第6期25-27,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的 分析南京市江宁地区肾内科就诊人群的就诊原因,了解慢性肾脏病知识在该地区的普及状况.方法 调查我院肾内科2012年12月至2013年12月的门诊日志,分别统计首次就诊人群及复诊人群的构成及就诊原因.结果 2012年12月至2013年12月我院肾内科共有4 226人次就诊,其中首次就诊人群2 015人次,复诊患者2 211人次.首次就诊人群就诊原因中,浮肿791人次,腰痛和（或）腰酸352人次,尿路刺激症状247人次,尿检异常215人次,糖尿病肾病105人次（其中临床蛋白尿76人次,微量白蛋白尿29人次）,终末期肾病61人次,其他原因244人次.复诊人群就诊原因中慢性肾功能不全（包括终末期肾病血液透析及腹膜透析患者）720人次,糖尿病肾病615人次,慢性肾炎527人次.其他就诊原因349人次.讨论 我院肾科首次就诊患者多为有临床症状者,因体检发现血尿、蛋白尿就诊者较少;复诊患者主要为慢性慢性肾功能衰竭、糖尿病肾病及慢性肾炎.慢性肾脏病的早期诊治明显欠缺,提示我区肾脏病知识的普及、宣传工作尚需进一步加强.而我区几年前开始施行的糖尿病免费政策,可能是导致糖尿病肾病明显多于慢性肾炎的原因.Objective To analyze the reasons for treatment of nephrology clinic population in Nanjing Jiangning district, to understand the situation of chronic kidney disease in the region. Methods To investigate outpatient data between December 2012 to December 2013 and learn causes of the first or the subsequent visiting. Results A total of 4 226 visitors for treatment in nephrology clinic from December 2012 to December 2013, where 2 015 visitors crowd the first visit and 2 211 were subsequent visited. Of the first treatment visitors, 791 were due to edema, back pain and （or） backache treatment 352 visitors, 247 visitors had urine tract irritation, 215 found abnonnal urine, 105 of diabetic nephropathy （of which 76 had clinical proteinuria, 29 had trace albuminuria）, 61 cases of end-stage renal disease, 244 visitors had other causes. The subsequent visitors with chronic renal insufficiency （including ESRD hemodialysis and peritoneal dialysis patients） 720 times, diabetic nephropathy 615 times, chronic nephritis 527 times. Other reasons for visits 349 times. Discussion The first visitors mostly had clinical symptoms in our region, physical findings of hematuria, proteinuria are less; The subsequent visitors are mostly chronic renal failure, diabetic nephropathy and ehronie nephritis. Early diagnosis and treatment of chronic kidney disease was significantly lacking, suggesting that spread the knowledge of kidney disease, advocacy work needs to be further strengthened in our region.The free policy of diabetes went into effect a few years ago in our region, which may be the cause of diabetic nephropathy significantly more than chronic nephritis.

关 键 词：慢性肾脏病 就诊原因 

分 类 号：R692[医药卫生—泌尿科学]