终末期肾脏疾病血液透析患者的临床特点探讨.docVIP

终末期肾脏疾病血液透析患者的临床特点探讨 　　【摘要】 目的：分析探讨终末期肾脏疾病血液透析患者的临床特点，为终末期肾脏疾病的临床治疗提供参考。方法：选取来笔者所在医院进行血液透析治疗的终末期肾脏疾病患者100例进行研究，100例患者入院后，均对其体征、血钠、血钾、血磷、膀胱B超、输尿管、肌酐尿常规、尿素氮、双眼底、双肾等进行临床检查。并根据临床检查数据，对该组患者的发病年龄、性别以及原发病等临床特点进行分析。结果：41～60岁人群是终末期肾脏疾病的高发人群，且男性发病率显著高于女性（P0.05）。患者的原发疾病以慢性肾小球肾炎、糖尿病肾病及高血压肾病为主。100例患者中，35例持续性血液透析治疗，39例死亡，12例转至外院进行治疗，9例行肾脏移植治疗，4例转为腹膜透析治疗，1例由于经济困难放弃治疗。结论：终末期肾脏疾病患者的高发人群是中老年，且男性发病率高于女性，原发病以慢性肾小球炎及糖尿病肾病为主。因此，需加强对这类人群的重视，加强原发疾病的控制和监测，从而降低终末期肾脏疾病的发病率。 　　【关键词】 终末期肾脏疾病； 血液透析； 临床特点 　　中图分类号 R692.5 文献标识码 B 文章编号 1674-6805（2016）10-0024-02 　　【Abstract】 Objective：To analyze and investigate the clinical characteristics of hemodialysis patients with end-stage renal disease，and provide reference for clinical treatment of end-stage renal disease.Method：100 patients with end-stage renal disease in our hospital for blood dialysis treatment were selected and analyzed.After 100 patients were admitted to hospital，all the signs，blood natrium，serum potassium，serum inorganic phosphorus，blood bladder ultrasound，ureter，creatinine，urine routine，urea nitrogen，eyes bottom，double kidney etc were detected. And according to the clinical data， the incidence of the group of patients age， gender and the primary disease and other clinical features were analyzed.Result：41-60 years old population was the high incidence of end-stage renal disease，and the incidence of male was significantly higher than that of female（P0.05）.The primary diseases of the patients were chronic glomerulonephritis，diabetic nephropathy and hypertensive nephropathy.Among the 100 patients， 35 patients were treated with continuous hemodialysis， 39 patients died， 12 patients were transferred to the hospital for treatment， 9 patients were treated with renal transplantation， 4 patients were treated with peritoneal dialysis and 1 patient was treated with economic difficulty. Conclusion：The high incidence of end-stage renal disease patients is elderly people， and the incidence rate of male is higher than that of female， the prima