老年透析患者的相关临床问题探讨  

Preferred strategy for dialysis in older adults

作　　者：赵卫红 魏璐 ZHAO Wei-hong;WEI Lu(Division of Nephrology,Department of Geriatric,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province Hospital,Nanjing210029,China)

机构地区：[1]南京医科大学第一附属医院江苏省人民医院老年肾科,南京210029

出　　处：《中国血液净化》2022年第10期709-712,718,共5页Chinese Journal of Blood Purification

基　　金：国家重点研发计划(2018YFC2002100);国家自然科学基金面上项目(82171585);江苏省干部保健课题(BJ17018);江苏省人民医院511工程(JSPH-511A-2018-5)。

摘　　要：人口老龄化日益加剧,终末期肾病(end stage renal disease,ESRD)老年人群急剧上升。我国流行病学调查发现透析患者中增长最快的是老年人。老年ESRD患者不仅面临肾功能恶化的威胁,还面临衰老、衰弱和共病的影响。本文就老年透析的相关问题进行探讨,包括评估老年ESRD患者是否适合做透析,透析是否符合患者的总体目标,老年透析患者衰弱和认知障碍,老年透析方式的选择,老年透析血管通路的决策点等方面。Population aging is a growing public health problem.The number of older adults with end stage renal disease(ESRD)is rising dramatically.Epidemiological surveys in China found that the fastest growing number of dialysis patients are the elderly.Older adults with ESRD face not only the threat of deteriorating kidney function,but also the effects of aging,frailty,and comorbidities.This review discussed the issues related to dialysis in older adults,including assessing whether elderly ESRD patients are suitable for dialysis,whether dialysis meet the overall goals of patients,frailty and cognitive impairment in older dialysis patients,the choice of dialysis methods in older adults,and the decision points of dialysis vascular access.

关 键 词：老年 透析 终末期肾病 

分 类 号：R459.5[医药卫生—治疗学]