120例长期血液透析老年慢性肾衰竭患者临床特点分析  

Clinical characteristics of elderly patients with chronic kidney failure undergoing long-term hemodialysis

作　　者：张连云[1] 朱铁锤[1] 刘向东[1] ZHANG Lian-yun ZHU Tie-chu LIU Xiang-dong(The Second Department of Kidney Disease and Rheumatism, First Affiliated Hos- pital of Xinvciang Medical College, Weihui 453100, China)

机构地区：[1]新乡医学院第一附属医院肾病风湿免疫科,河南省卫辉市453100

出　　处：《实用老年医学》2016年第10期815-817,共3页Practical Geriatrics

摘　　要：目的分析120例长期透析的老年慢性肾衰竭患者的临床特点,为临床工作提供依据。方法选取2009年6月至2014年6月在我院接受透析的120例老年慢性肾衰竭患者作为老年组,选取同一时期透析的非老年肾衰患者60例作为对照组。比较2组患者的基线情况、血生化检查、并发症发生情况和预后。结果2组患者体质量、收缩压和舒张压的差异具有统计学意义(P<0.05)。2组患者血红蛋白(Hb)、血浆白蛋白(ALB)、总胆固醇(TC)、血肌酐(Scr)、血尿素氮(BUN)和全段甲状旁腺激素(i PTH)的水平差异具有统计学意义(P<0.05)。老年组患者的高血压发生率为25.83%,透析低血压发生率为35.00%,心律失常发生率为13.33%,感染发生率为14.17%;对照组高血压发生率为8.33%,透析性低血压发生率为21.67%,心律失常发生率为6.67%,感染发生率为5.00%,2组间差异具有统计学意义(P<0.05)。老年组患者病死率为67.50%,对照组为51.67%,差异具有统计学意义(P<0.05)。结论长期透析的老年慢性肾衰患者具有并发症发生率高和病死率高的特点,临床上应给予关注和积极治疗。Objective To analyze the clinical characteristics of elderly patients with chronic kidney failure treated with long-term hemodialysis. Methods From June 2009 to June 2014,120 elderly patients were chosen as elderly group,at the same time,60 non-elderly patients were chosen as control group. The baseline data,blood biochemistry parameters,complications and prognosis were compared between two groups. Results The weight,systolic blood pressue（ SBP）,diastolic blood pressure（ DBP）,hemoglobin（ Hb）,albumin（ ALB）,total cholesterol（ TC）,serum creatinine（ Scr）,blood urea nitrogen（ BUN） and i PTH showed significant difference between two groups（ P 0. 05）. In elderly group,the incidence rate of hypertension,hypotension,arrhythmia,infection was 25. 83%,35. 00%,13. 33% and14. 17%,respectively,compared with 8. 33%,21. 67%,6. 67% and 5. 00% in control group（ P〈0. 05）. The death rate of elderly group was 67. 50%,compared with 51. 67% in control group（ P 0. 05）. Conclusions Elderly patients with chronic kidney failure treated with long-term hemodialysis have high risk of complications and death,which should be paid special attention.

关 键 词：长期血液透析 慢性肾衰竭 临床特点 

分 类 号：R692.5[医药卫生—泌尿科学]