2007年北京市新入血液透析患者病因组成分析

目的分析北京市2007年新增血液透析患者的年龄、性别、病因特点,为制定预防措施提供参考。方法根据北京市血液透析质量控制和改进中心肾脏病数据系统（BJHDQCIC）提供的数据,对2007年在北京市血液净化中心首诊并进行维持性血液透析的患者的年龄、性别病因进行分析。结果该年度新增血液透析患者1732例,男女构成比1.35：1,年龄41～80岁之间占73.6%。病因前三位为原发肾小球疾病的占27.97%,糖尿病占23.19%,高血压占13.21%。在51～80岁人群中,糖尿病已成为首要病因。结论与过去五年的病因构成相比较,原发性肾小球疾病的构成比逐渐下降,但仍为主要病因,以50岁以下中青年为多。糖尿病构成比较往年增加。糖尿病已成为新进入血液透析的中老年患者的首要病因。

Etiology analysis of incident hemodialysis patients in Beijing in 2007

Objective To investigate age, sex and primary disease of incident hemodialysis patients with end stage renal disease （ESRD） in Beijing in 2007. Methods Based on the information from the database issued by Beijing Hemodialysis Quality Control Improvement Center （BJHDQCIC）, we analyzed age, sex and primary disease in 1 732 ESRD patients newly treated with hemodialysis in Beijing in 2007. Results In 2007 in Beijing, 1 732 cases began to treated with hemodialysis. The male/female ratio was 1.35：1, and 73.6% patients were in the age range of 41-80 years. The most frequent primary diseases were primary glomerulonephritis 27.97%, diabetic nephropathy 23.19%, and hypertensive nephropathy 13.21%. Conclusion In this study, the major primary disease leading to ESRD and hemodialysis was primary glomerulonephritis. In the recent 5 years, however, the ratio of primary glomerulonephritis in the hemodialysis patients is decreasing, and that of diabetic nephropathy is increasing.