摘要
目的总结攀枝花市中西医结合医院首次诊断为慢性肾脏病（chronickidneydisease，CKD）患者的临床特点。方法将2009年1月至2014年8月，攀枝花市中西医结合医院肾内科首次确诊的未接受健康宣教的357例CKD患者作为研究对象，男182例，女175例，平均年龄（51．4±12．6）岁。根据美国肾脏病透析质量倡议（K／DOQI）进行CKD诊断与分期，回顾性分析CKD患者的原发病构成比，CKD分期构成比，各疾病分期中高血压、高尿酸血症、尿蛋白升高、贫血、甲状旁腺功能亢进的百分率及患者的治疗需求问卷调查。结果CKD的原发病前3位是原发性肾小球疾病、糖尿病、高血压；CKD1～5期构成比分别为9．1％、10．8％、17．0％、22．2％、40．9％。患者的治疗需求调查，87．4％的患者仅为了控制症状；医嘱治疗＋改变生活方式、门诊随访、控制10年肾衰竭发生的比例分别占15．7％、18．8％、22．7％。结论基层中医院CKD1、2期患者就诊率低，加强对社区患者的宣传教育，早期就诊对于控制肾衰竭发生非常重要。
Objective To summarize the clinical characteristics of chronic kidney disease（CKD） patients diag- nosed firstly in Panzhihua Traditional Chinese Medicine Hospital. Methods Three hundred and fifty-seven CKD patients from January 2009 to August 2014 in Panzhihua Traditional Chinese and Western Medicine Hospital were included in the study, who didn＇t receive health education, 182 were male, 175 were female, the mean age was （51.4±12.6）years old. The diagnostic and staging criteria of CKD was taken according to the K/DOQI. The proportion of CKD＇s primary disease, the percentage of hypertension, hyperuricemia and hyperthyroidism were analyzed. The treatment needs of the patients were questionnaired. Results The main etiology of CKD were primary glomerular diseases, diabetes and hypertension.CKD stagel-5 were respectively accounted for 9.1%, 10.8%, 17.0%, 22.2% and 40.9%. Of all the patients, 87.4% just needed to control symptoms only. The ratio of doctor＇s advice on lifestyle changes ,follow-up at outpatients and control the inci- dence often years renal failure were accounted for 15.7%, 18.8%, 22.7% respectively. Conclusion The visit rate is low in stagel-2 CKD patients in the community traditional chinese medicine hospital. It is necessary to strenghthen the health education for the CKD patients in the community. Early diagnosis and treatment is also very important to control the prog- ress of CKD.
出处
《北京医学》
CAS
2015年第9期857-859,共3页
Beijing Medical Journal
关键词
慢性肾脏病
基层医院
健康宣教
早期诊断
Chronic kidney disease（CKD）
Community hospital
Health education
Early diagnosis
