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目的:分析终末期肾病患者血液透析现况,为临床治疗提供依据。方法:随机选取我院2012年3月-2013年3月在血液净化室进行维持性血液透析患者117例,采取查阅病历和问卷调查相结合的方法,分析患者原发疾病、血液透析和并发症情况。结果:慢性肾小球肾炎、糖尿病肾病和高血压肾损害为主要原发病因;62.4%终末期肾病患者每周透析3次,60.7%透析血管通路以动静脉内瘘为主;63.2%患者并发肾性贫血,46.2%患者并发高磷血症。结论:要积极防治终末期肾病患者原发病因,加强血液透析的规范化操作以及患者遵医依从性和自我管理。
Objective: To analyze the status of hemodialysis in patients with end-stage renal disease and provide the basis for clinical treatment. Methods: A total of 117 patients with maintenance hemodialysis in the blood purification room from March 2012 to March 2013 were randomly selected. The patients’ primary diseases, hemodialysis and complications were analyzed by referring to medical records and questionnaires. Happening. Results: Chronic glomerulonephritis, diabetic nephropathy and hypertensive renal damage were the main etiopathogenisis; 62.4% of patients with end-stage renal disease were dialyzed three times a week, 60.7% of the dialysis vascular access was arteriovenous fistula; 63.2% Renal anemia, 46.2% of patients complicated with hyperphosphatemia. Conclusion: To actively prevent and treat the primary etiology of patients with end-stage renal disease, to strengthen the standardized operation of hemodialysis and compliance with patients and self-management.