2018年澳门镜湖医院血液透析登记及结果分析  

Analysis of 2018 hemodialysis registration and result from Kiangwu Hospital in Macao

作　　者：唐静[1] 欧阳梓华[1] 蔡宗仰[1] 禤伟振 陶涛[1] 武建勋[1] 彭莉[1] TANG Jing;OU YANG Zi-hua;CAI Zong-yang;XUAN Wei-zhen;TAO Tao;WU Jian-xun;PENG Li(Department of Nephropathy,Kiangwu Hospital,Macao 999078,China)

机构地区：[1]澳门镜湖医院肾内科,澳门999078

出　　处：《临床肾脏病杂志》2020年第8期664-668,共5页Journal Of Clinical Nephrology

基　　金：澳门科技发展基金(107/2017/A)。

摘　　要：目的通过2018年度澳门镜湖医院血液透析中心血液透析登记及其结果分析,了解我院患者血液透析(hemodialysis,HD)的现状。方法按照血液透析登记的要求,利用血液透析智能数据系统收集整理2018年1月1日至2018年12月31日在我院进行HD的患者的临床数据,进行统计学处理和分析,部分数据与2008年、2015年透析登记数据进行比较。结果2018年度我院HD患者共552例,比2008年增长103.7%,比2015年增长6.4%。糖尿病肾病为首位原发病因,占42.6%。98.2%的患者有永久性血管通路,其中自体动静脉内瘘占61.2%,人造血管占5.1%,中心静脉永久导管占28.1%。透析充分性(Kt/V)(1.7±0.3),较2008、2015年明显升高,二者差异均有统计学意义(P<0.05)。Kt/V达标率96.5%。Hb(102.7±12.4)g/L,与2008持平(P>0.05),较2015年下降(P<0.05)。血钙2.1~2.4 mmol/L者70%,血磷>1.78 mmol/L者28.3%。甲状旁腺素150~300 ng/L者25.5%。全年死亡率5.8%,死亡原因中恶性肿瘤占34.4%,心血管事件占28.1%。结论2008至2018年,我院HD患者人数逐年增加,2018年,我院HD患者的Kt/V达标率、Hb达标率、血钙达标率、甲状旁腺素达标率均达到发达国家水平。Objective To investigate the current status of hemodialysis in our hospital by analyzing the hemodialysis registration and the results in 2018.Methods According to the requirements for hemodialysis registration,the clinical data of those patients undergoing HD in our hospital from January 1st,2018 to December 31th,2018 were collected and statistically processed and analyzed,by utilizing the Hemodialysis Intelligent Data System.Some of the data were also compared with those in 2008 and 2015.Results There were total 552 patients during 2018,with an increase of 103.7%over 2008 and 6.4%over 2015.Diabetic nephropathy was the first primary cause accounting for 42.6%.98.2%of the patients had permanent vascular access,including autogenous AVF 61.2%,AVG 5.1%and PC in the central vein 28.1%.The mean of dialysis adequacy(Kt/V)was(1.7±0.3),which was significantly higher than that in 2008 and 2015,with statistical difference between the two(P<0.05).The normality rate of kt/V was 96.5%.The mean hemoglobin(Hb)was(102.7±12.4)g/L which was similar to that in 2008(P>0.05),which was lower than that in 2015(P<0.05).70%of the patients had blood calcium(Ca)2.1~2.4 mmol/L,28.3%of them had blood phosphorus(P)>1.78 mmol/L,25.5%of them had intact parathyroid hormone(iPTH)150~300 ng/L.The annual mortality in 2018 was 5.8%,and among the death causes malignant tumor accounted for about 34.4%and cardiovascular mortality accounted for about 28.1%.Conclusions From 2008 to 2018,the number of HD patients in our hospital had been increasing year by year.In 2018,the control rates of Kt/V,Hb,blood calcium and parathyroid hormone of HD patients in our hospital reached the level of developed countries.

关 键 词：慢性肾脏病 血液透析 透析登记 

分 类 号：R692.5[医药卫生—泌尿科学]