河南省血液透析患者原发病与流行病学调查

目的初步调查河南省终末期肾病（end-stage renal disease,ESRD）血液透析患者原发病及患者年龄、性别、户口等因素的特点。方法选择2006年9月至2007年12月河南省因终末期肾病进行血液透析治疗的患者3278例,用调查表登记患者年龄、性别、户口、原发疾病诊断时间、ESRD诊断时间、病理诊断等资料并建立数据库进行统计学分析。结果3278例血液透析患者平均年龄（52.20±16.77）岁,男女性别比为1.19：1。原发病构成按顺序依次为：慢性肾小球肾炎占37.19%,糖尿病肾病占18.79%,高血压肾损害占14.89%,原发病因不详占14.19%,其它占14.94%。结论河南省血液透析患者男性多于女性,45岁及以上者为主要人群,血液透析患者原发病主要是慢性肾小球肾炎、糖尿病肾病和高血压肾损害,ESRD防治形势严峻。

Etiology and epidemiology investigation of hemodialysis patients in Henan province

Objective To investigate the primary disease, age, sex, resident place of the patients with end stage renal disease （ESRD） treated with hemodialysis in Henan province. Methods During the period from September 2006 to December 2007, 3278 cases of ESRD were treated with hemodialysis in Henan province. A database was established containing their age, sex, resident place, time of primary disease being identified, pathological diagnosis, and time of ESRD being diagnosed. Results In the 3278 patients, the average age was 52.20 ± 16.77 years old, and the male/female ratio was 1.19：1. The etiology of ESRD included chronic glomerulonephritis 37.19%, diabetic nephropathy 18.79%, hypertensive nephropathy 14.89%, unknown 14.19%, and others 14.94%. Conclusion In patients treated with hemodialysis in Henan province, male patients were more than female patients, and most patients were more than 45 years old. The major cause of ESRD with hemodialysis was chronic glomerulonephritis, followed by diabetic nephropathy and hypertensive nephropathy. Thus, treatment of primary diseases and prevention of ESRD are important topics in clinical practice.