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目的探讨近年来我院收治的慢性肾功能衰竭患者的发病原因、治疗效果及其影响因素。方法对我院1998年1月～2010年12月住院患者的临床资料进行回顾性分析,分析其病因、职业、年龄及治疗效果等。结果慢性肾功能衰竭尿毒症的患者共326例中因患泌尿系结石(双肾结石或双输尿管结石,重度双肾积液或多囊肾并结石)187例(57.4%),高血压肾功能不全、糖尿病肾病共77例(23.6%),慢性肾炎、肾病综合症共43例(13.2%),其他如痛风、红斑狼疮、心脏病共19例,占5.8%。结论我县属泌尿系结石高发地区,因泌尿系结石并肾功能衰竭占总发病率50%以上,其中农民发病率最高,其次是高血压、糖尿病,与以往教科书及文献报道不同,血液透析治疗能大大延长尿毒症的生存时间及生活质量。血液透析技术填补了我县治疗肾衰的空白,提高了我院社会效益和经济效益。
Objective To investigate the causes, therapeutic effects and influencing factors of chronic renal failure patients admitted to our hospital in recent years. Methods The clinical data of inpatients from January 1998 to December 2010 in our hospital were analyzed retrospectively to analyze their etiology, occupation, age and treatment effect. Results A total of 326 patients with uremia in chronic renal failure (n = 187) (57.4%) had urinary calculi (double renal calculi or double ureteral calculi, severe double renal effusion or polycystic kidney disease with stones), hypertensive kidney function Incomplete, a total of 77 cases of diabetic nephropathy (23.6%), chronic nephritis, nephrotic syndrome, a total of 43 cases (13.2%), others such as gout, lupus erythematosus, heart disease, a total of 19 cases, accounting for 5.8%. Conclusion The county is a high incidence of urolithiasis, urolithiasis and renal failure accounted for more than 50% of the total incidence, of which the highest incidence of farmers, followed by hypertension, diabetes, and previous textbooks and literatures reported different hemodialysis treatment Can greatly prolong the survival time of uremia and quality of life. Hemodialysis technology to fill the gaps in the treatment of renal failure in our county, improve our hospital social and economic benefits.