摘要
目的探讨影响糖尿病终末期肾病(ESDN)血液透析患者长期生存率的危险因素,以提高ESDN血液透析患者的长期生存率。方法31例ESDN血液透析患者和同期透析的42例非糖尿病终末期肾病(non-ESDN)血液透析患者相比较,回顾性分析了死亡率、死亡原因、并发症、营养状态及血生化改变。结果ESDN组1、3年死亡率分别为19.3%和41.9%,3年死亡率明显高于non-ESDN组。主要死因为心血管病变(47.4%)和感染性疾病(26.3%)。主要并发症是心血管病变(94%)。两组营养状态评估(SGA)均差,但ESDN组的血浆清蛋白明显低于non-ESDN组。结论ESDN组并发症发生率及死亡率均比non-ESDN组高。积极治疗并发症,改善营养状态是提高生存率的关键。
Objective To investigate the risk factors which might influence the survival rate of the end-stage diabetic nephropathy （ESDN） patients treated with hemodialysis. Methods Thirty -one ESDN patients were analyzed retrospectively for the causes of death, mortality, complications, nutritional status and blood biochemical parameters. Forty-tow non-ESDN patients treated with hemodialysis with the same age at the same period were selected as control. Results The mortality for 1 year and 3 year of group ESDN were 19.3% and 41.9%. The causes of death were cardiovascular di-seases and infection diseases. Cardiovascular diseases was the major complication accounting for 94.0%. The nutritional status was poor in both groups, but the serum albumin level of group ESDN was lower than that of group non-ESDN, Conclusion The mortality of ESDN treated with hemodialysis patients is higher than that of non-ESDN group. More complications were observed in ESDN group. Preventive treatment for the complications and improvement of nutritional status are the key strategy to enhance survival rate.
出处
《重庆医学》
CAS
CSCD
2006年第2期140-141,共2页
Chongqing medicine
关键词
糖尿病
终末期肾病
血液透析
危险因素
diabetes mellitus
end stage renal disease
hemodialysis
risk factors
