论文部分内容阅读
目的 调查慢性肾衰竭 (CRF)患者开始血液透析的时机以及影响因素。方法 调查 2 0 0 1- 0 12 0 0 2 - 12于北京大学第一医院血液透析中心治疗的 117例非糖尿病性CRF患者开始透析时肌酐清除率 (Ccr)、血肌酐 (Scr)、尿毒症症状、并发症以及首次透析的情况 ,比较不同透析时机患者间的差别 ,分析影响透析时机的因素。结果 (1)进入透析时Ccr为 (4 18± 3 2 6 )mL/min。 (2 ) 87 18%患者有明显尿毒症症状 ;5 5 0 0 %营养状态下降 ;71 79%出现心、脑并发症 ;2 7 35 %需急诊透析。 (3) 83 76 %患者透析时机过晚 ,原因以CRF发现过晚最多见 (76 5 2 % )。结论 (1)近 2年开始血液透析的CRF患者多数透析时机过晚。 (2 )健康宣教、疾病筛查以及医疗保健是影响透析时机的关键因素。
Objective To investigate the timing and influencing factors of hemodialysis in patients with chronic renal failure (CRF). Methods: A total of 117 patients with non-diabetic CRF who were treated at the Hemodialysis Center of Peking University First Hospital were enrolled in the study. Their serum creatinine clearance (Ccr), serum creatinine (Scr), uremia Symptoms, complications and the situation of the first dialysis, comparing the different timing of dialysis patients, analysis of the factors that affect the timing of dialysis. Results (1) Ccr was (4 18 ± 3 2 6) mL / min on dialysis. (2) 87 18% of patients had obvious symptoms of uremia; 5500% of nutritional status decreased; 71 79% had heart and brain complications; and 27.3% needed urgent dialysis. (3) 83 76% of patients had an overdose of dialysis, the most common cause of which was found to be late (76 5 2%). Conclusions (1) Most dialysis patients who started hemodialysis in the past 2 years had a very late dialysis time. (2) Health education, disease screening and health care are the key factors affecting the timing of dialysis.