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目的:初步调查广东省佛山市顺德区勒流医院血液净化中心维持性血液透析(MHD)患者的现状。方法:选择2016年3月MHD患者24例,用调查表登记患者各项资料。结果:患者年龄(64.43±13.59)岁;男女比例2:1,其中60岁以上MHD患者17例,占70.8%。原发病因第一位的是糖尿病肾病,占比37.5%,透析方式均为单纯血液透析;透析频率每周3次的患者占58.4%,平均每周透析时间(10.09±2.66)h。透析龄>5年的患者占16.7%。自体动静脉内瘘患者为17例(占70.8%)。血红蛋白达100~120 g·L~(-1)的占25%,透析前血压<140/90 mmHg(1 mmHg=0.133 kPa)的达标者占50%,而血钙、血磷、钙磷乘积、甲状旁腺激素的达标率分别为70.8%,45.83%,62.5%,29.17%,但4项均达标者仅占8.3%。医保覆盖率100%。结论:本地区血液透析患者平均年龄(64.43±13.59)岁,60岁以上患者较多;原发病因以糖尿病肾病为主。透析方式较单一,内瘘比例较高,血液透析慢性并发症中贫血、骨矿物质代谢紊乱控制欠佳。医保覆盖率较高,达到100%。
Objective: To investigate the status of maintenance hemodialysis (MHD) patients at Blood Purification Center, Leliu Hospital, Shunde District, Foshan City, Guangdong Province. METHODS: Twenty-four patients with MHD were selected in March 2016. All patients were enrolled in the questionnaire. Results: The patient’s age was (64.43 ± 13.59) years. The male-female ratio was 2: 1. There were 17 cases of MHD patients over 60 years old, accounting for 70.8%. The primary cause was diabetic nephropathy, accounting for 37.5%. Dialysis was performed on hemodialysis alone. Dialysis frequency was 58.4% in three times a week and average weekly dialysis time was 10.09 ± 2.66 h. Patients who underwent dialysis for 5 years accounted for 16.7%. Autologous arteriovenous fistula in 17 patients (70.8%). Hemoglobin up to 100 ~ 120 g · L ~ (25%), pre-dialysis blood pressure <140/90 mmHg (1 mmHg = 0.133 kPa) compliance standards accounted for 50%, and calcium, phosphorus, calcium and phosphorus products The compliance rate of parathyroid hormone was 70.8%, 45.83%, 62.5% and 29.17%, respectively, but only 4% reached the standard of 8.3%. Medicare coverage 100%. Conclusion: The mean age of hemodialysis patients in our region (64.43 ± 13.59) years old, more patients over 60 years old; the primary cause of diabetic nephropathy. Dialysis is more simple, a higher proportion of fistula, chronic complications of hemodialysis anemia, poor control of bone mineral metabolism disorder. Medicare coverage is high, reaching 100%.