老年人糖尿病终末期肾病血液透析患者危险因素分析

目的探讨影响老年糖尿病终末期肾病(ESDN)血液透析患者生活质量及长期存活的各种危险因素,以期提高老年 ESDN血液透析患者整体治疗水平.方法对23例老年(≥60岁)ESDN血液透析患者和同期透析58例同龄非糖尿病终末期肾病(NOR- ESDN)患者为对照组,回顾性分析了死亡原因、存活率、并发症、营养状态及血生化改变. 结果老年ESDN存活组1年、3年存活率分别为84.0%和36.0%.主要并发症是心血管病变为92.0%.主要死因是心血管病变(52.1%).与NOR-ESDN组比较有显著差异.两组营养状态评估(SGA)均差,但ESDN的血浆白蛋白明显低于NOR-ESDN患者.结论老年ESDN并发症发生率及病死率均比 NOR-ESDN患者高,存活率低.提高营养,防治并发症是提高存活率的关键.

The risk factors analysis of elderly end stage renal disease hemodialysis patients due to diabetes mellitus

Objective To investigate the risk factors which might affect the life quality and life span of elderly end stage renal disease(ESRD) hemodialysis patients due to diabetes mellitus(DM). Methods Twenty-three cases of ESRD hemodialysis patients of elderly DN were analysed retrospectively for causes of death, mortality rate, complications, nutritional status and blood biochemical test. Fifty-eight cases of ESRD hemodialysis patients of non- DN with the same age at the same period were taken as control. Results The vitality rates for 1 year and 3 years of group DN were 84.0% and 36.0% respectively. Cardiovascular abnormality was the major complication occupying 92.0%. Threre was statistical significance comparing to group non_DN. The nutritional status were poor in both groups, but the serum albumin level of group DN was lower than that of group non_DN. Conclusions The mortality rate of elderly ESDN hemodialysis patients is higher than that of non_DN group. More complications were observed in DN group. Preventive treatment of complications is key to enhance life quality and life span.