边疆少数民族地区多中心MHD患者SHPT现况调查分析  

Investigation and analysis of the current status of PTH in multi-center MHD patients in frontier minority areas

作　　者：杨军 那杨艳 陈国庆 杨家云 周竹[1] 杨倩[1] YANG Jun;NA Yang-yan;CHEN Guo-qing;YANG Jia-yun;ZHOU Zhu;YANG Qian(Department of Nephrology,the First Affiliated Hospital of Kunming Medical University,Yunnan Chronic Kidney Disease Clinical Medical Research Center,Kunming Yunnan 650032,China;Department of Nephrology,Lincang People s Hospital,Lincang Yunnan 677000,China)

机构地区：[1]云南省昆明医科大学第一附属医院肾内科,云南省慢性病临床医学研究中心,云南昆明650032 [2]云南省临沧市人民医院肾内科,云南临沧677000

出　　处：《云南医药》2022年第5期22-25,共4页Medicine and Pharmacy of Yunnan

基　　金：云南省慢性肾病临床医学研究中心专项(202102AA100060);临沧市科技创新人才培养项目(202204AC100001-RC11)。

摘　　要：目的获得边疆少数民族地区MHD患者部分特征及治疗现状,针对性进行诊疗并提出合理的诊疗建议。方法对云南省边疆少数民族地区10家血液透析中心的MHD患者进行SHPT横断面研究分析。结果临沧市MHD患者1196名,SHPT发病率高达93.39%,男女比例为1.41∶1,少数民族患者占29.93%,以佤族、彝族、拉祜族及傣族为主,占全部患者27.17%。MHD病因中肾小球疾病占首位,糖尿病及高血压仅占15.14%。结论由于经济发展落后、生活环境及方式等不同,临沧市目前引起终末期肾病仍以肾小球肾炎等原发性肾脏疾病为主,民间不良用药习惯的影响使药物性肾损害比例高于全国水平。SHPT治疗不规范,接受合理用药MHD患者比例较低。Objective To obtain some characteristics and treatment status of MHD patients in frontier minority areas,conduct targeted diagnosis and treatment,and put forward reasonable diagnosis and treatment suggestions.Methods A cross-sectional study of SHPT was conducted among MHD patients in 10 hemodialysis centers in the border minority areas of Yunnan Province.Results There were 1196 MHD patients in Lincang City.The incidence rate of SHPT was as high as 93.39%,and the male to female ratio was 1.41∶1.The minority patients accounted for 29.93%which mainly were the Wa,Yi,Lahu and Dai nationalities and accounted for 27.17%of all patients.Among the causes of MHD,glomerular disease took the first place,and diabetes and hypertension accounted for only 15.14%.Conclusions Due to the backward economic development,different living environment and ways,etc.,primary renal diseases such as glomerulonephritis are still the main causes of end-stage renal disease in Lincang City.The proportion of drug-induced renal damage was higher than the national level due to the influence of poor drug use habits.SHPT treatment is not standardized,and the proportion of MHD patients receiving rational medication is low.

关 键 词：边疆少数民族地区 血液透析 继发性甲状旁腺机能亢进症 

分 类 号：R692.5[医药卫生—泌尿科学] R582.1[医药卫生—外科学]