本文選題：血液透析　切入點(diǎn)：發(fā)病率　出處：《山西醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：[目的] 通過對(duì)2010～2013年山西省新進(jìn)入血液透析患者的發(fā)病率、病因、血管通路、常見并發(fā)癥及死亡原因等方面的基本情況的分析,了解山西省終末期腎病血液透析患者的流行病學(xué)資料,為規(guī)范臨床治療及持續(xù)質(zhì)量改進(jìn)提供數(shù)據(jù)支持。 [方法] 對(duì)2010-2013年山西省所有開展血液凈化治療的醫(yī)療機(jī)構(gòu)網(wǎng)上直報(bào)的8108例新進(jìn)入血液透析的患者的病例資料進(jìn)行回顧性分析。各種相關(guān)數(shù)據(jù)的采集通過全國血液凈化病例信息登記系統(tǒng)完成。 [結(jié)果] (1)山西省新進(jìn)入血液透析的患者人數(shù)逐年遞增,2010-2013年血液透析年度發(fā)病率分別為每百萬人口46.62人、53.44人、62.61人、62.93人；年度發(fā)病率男女比例分別為1.22：1、1.28：1、1.29：1、1.41：1,差距逐漸增大；(2)血液透析患者前三位的原發(fā)病因依次為慢性腎小球腎炎、糖尿病腎病、高血壓腎損害,其中居于首位的是慢性腎小球腎炎,占到全部病因的56.4%,糖尿病腎病及高血壓腎損害的比例逐年升高；(3)在新進(jìn)入透析時(shí)的血管通路中,臨時(shí)中心靜脈置管居于第一位,占到53.3%,其次是自體動(dòng)靜脈內(nèi)瘺占41.2%；(4)新進(jìn)入血液透析患者的并發(fā)癥最常見為貧血,其次為高血壓、骨礦物質(zhì)代謝紊亂等；腎性貧血及骨礦物質(zhì)代謝紊亂的治療達(dá)標(biāo)率偏低,不足50%；(5)心腦血管事件是血液透析患者死亡的主要原因；(6)終末期腎病患者開始血液透析的年齡最主要集中在40～49歲和50～59歲。 [結(jié)論] (1)山西省進(jìn)入血液透析的患者在逐年增多；(2)血液透析患者前三位原發(fā)病因依次為慢性腎小球腎炎、糖尿病腎病、高血壓腎損害,其中糖尿病腎病及高血壓腎損害的比例逐年升高；(3)進(jìn)入透析時(shí)的血管通路以臨時(shí)中心靜脈插管占的比例最高,其次為自體動(dòng)靜脈內(nèi)瘺,提示適時(shí)透析的問題需得到關(guān)注并改進(jìn)；(4)腎性貧血及骨礦物質(zhì)代謝紊亂的治療達(dá)標(biāo)率偏低；(5)心腦血管事件是血液透析患者死亡的主要原因。
[Abstract]:[purpose]. Based on the analysis of the incidence, etiology, vascular access, common complications and causes of death of new hemodialysis patients in Shanxi Province from 2010 to 2013, the epidemiological data of hemodialysis patients with end-stage renal disease in Shanxi Province were analyzed. Provide data support for standardization of clinical treatment and continuous quality improvement. [methods]. The data of 8108 new hemodialysis patients directly reported by all medical institutions in Shanxi Province from 2010 to 2013 were analyzed retrospectively. The collection of various relevant data was carried out through the blood purification disease of the whole country. The information registration system is completed. [results]. (1) the number of new hemodialysis patients in Shanxi Province is increasing year by year. The annual incidence rate of hemodialysis in Shanxi Province from 2010 to 2013 is 46.62 persons per million population, 53.44 patients per million population, 62.61 patients per million population, 62.93 patients per million population. The annual male / female morbidity ratio was 1.22: 1: 1.28: 1.291: 1.41: 1, with the gap gradually increasing.) the first three primary causes of hemodialysis patients were chronic glomerulonephritis, diabetic nephropathy and hypertensive renal damage, among which chronic glomerulonephritis was the leading cause. The proportion of diabetic nephropathy and hypertensive renal damage increased year by year. Accounting for 53.3%, followed by autologous arteriovenous fistula (41.2%) anemia is the most common complication in new hemodialysis patients, followed by hypertension, bone mineral metabolism disorder, etc. The rate of treatment of renal anemia and bone mineral metabolism disorder is low. Cardiovascular and cerebrovascular events are the main cause of death in hemodialysis patients. The age of beginning hemodialysis in patients with end-stage nephropathy is mainly 4049 years old and 50 ~ 59 years old. [conclusion]. (1) the number of patients entering hemodialysis in Shanxi Province is increasing year by year. The first three primary causes of hemodialysis patients are chronic glomerulonephritis, diabetic nephropathy and hypertensive renal damage. Among them, the proportion of diabetic nephropathy and hypertensive renal damage increased year by year. The proportion of temporary central venous catheterization was the highest, followed by autologous arteriovenous fistula. It is suggested that the problem of timely dialysis should be paid attention to and improved. (4) Renal anemia and the treatment of bone mineral metabolism disorder. 5) Cardio-cerebrovascular events are the main causes of death in hemodialysis patients.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R692.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 朱進(jìn)華;丁弘;田英;宋磊;錢紀(jì)銀;;江蘇省揚(yáng)中市成人慢性腎臟病流行病學(xué)調(diào)查和相關(guān)因素分析[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2011年24期

2 劉新艷;李榮山;王伶;智升雯;秦維山;;山西省太谷縣水秀鄉(xiāng)高血壓病調(diào)查及現(xiàn)狀分析[J];臨床醫(yī)藥實(shí)踐;2009年34期

3 王梅;;高血壓與腎臟疾病[J];中國實(shí)用內(nèi)科雜志;2007年12期

4 劉志康;楊雪蓮;謝銳;王利平;張路路;廖志敏;李列平;李昆;李威;;涼山彝族自治州中老年人群中慢性腎臟病的流行病學(xué)研究[J];四川醫(yī)學(xué);2012年07期

5 任文;方力爭(zhēng);任菁菁;杜亞平;;代謝綜合征組分不同組合與慢性腎臟病的關(guān)系[J];上海醫(yī)學(xué);2012年09期

6 李慧珍;;山西陽泉二礦煤礦工人高血壓患病率調(diào)查[J];醫(yī)學(xué)理論與實(shí)踐;2010年02期

7 唐盛;龔智峰;王浩宇;閉閔;劉蕓芳;李瑾瑜;黃玲;;廣西6城市成年人慢性腎臟病流行病學(xué)調(diào)查[J];醫(yī)學(xué)理論與實(shí)踐;2011年14期

8 王質(zhì)剛;血液凈化時(shí)機(jī)的選擇[J];實(shí)用醫(yī)院臨床雜志;2005年01期

9 唐盛;龔智峰;彭小梅;閉閔;吳潮清;張文欣;曾西;王浩宇;;廣西15個(gè)透析中心維持性血液透析患者治療現(xiàn)況調(diào)查[J];中國血液凈化;2010年06期

10 張偉明;錢家麒;;上海市透析登記及其結(jié)果分析[J];中國血液凈化;2012年05期

相關(guān)博士學(xué)位論文 前1條

1 張冬;全國血液透析病例信息登記系統(tǒng)的建立及血液透析患者貧血治療情況分析[D];中國人民解放軍軍醫(yī)進(jìn)修學(xué)院;2012年

，

本文編號(hào)：1628141