Zhonghua yi xue za zhi · 2014
[Etiology analysis of incident hemodialysis patients in Shanxi province during 2010 and 2013].
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Zhang Xiaohua, Wang Lihua, Li Jing, Li Rongshan
Аннотация
OBJECTIVE: To retrieve the epidemiological literature of end stage renal hemodialysis patients.
METHODS: A total of 8 108 chronic renal failure (CRF) patients on first-time dialysis in Shanxi province during January 2010 and December 2013 were surveyed. Their clinical data were registered into the Chinese national renal data system.
RESULTS: In Shanxi province, the number of hemodialysis patients increased annually. The incidence rate between 2010 and 2013 was 46.62, 53.44, 62.61 and 62.93 pmp, respectively. The first three primary causes of CRF in incident hemodialysis patients were glomerulonephritis, diabetic nephropathy and hypertensive nephrosclerosis. The first vascular access in CRF patients at the beginning of hemodialysis was temporary central venous catheter (53.3%) and then primary arteriovenous fistula (41.2%). Anemia was one of the most common complications of incident hemodialysis patients, followed by hypertension and bone and mineral disorders, etc. Cardiovascular and cerebrovascular incidences were the leading causes of death. Those with end stage renal disease (ESRD) were between the ages of 40-49 and 50-59.
CONCLUSIONS: In Shanxi province, the number of hemodialysis patients rises annually. The incidence of diabetic nephropathy and hypertensive nephrosclerosis rise with years. Timely hemodialysis and improvement are required.
METHODS: A total of 8 108 chronic renal failure (CRF) patients on first-time dialysis in Shanxi province during January 2010 and December 2013 were surveyed. Their clinical data were registered into the Chinese national renal data system.
RESULTS: In Shanxi province, the number of hemodialysis patients increased annually. The incidence rate between 2010 and 2013 was 46.62, 53.44, 62.61 and 62.93 pmp, respectively. The first three primary causes of CRF in incident hemodialysis patients were glomerulonephritis, diabetic nephropathy and hypertensive nephrosclerosis. The first vascular access in CRF patients at the beginning of hemodialysis was temporary central venous catheter (53.3%) and then primary arteriovenous fistula (41.2%). Anemia was one of the most common complications of incident hemodialysis patients, followed by hypertension and bone and mineral disorders, etc. Cardiovascular and cerebrovascular incidences were the leading causes of death. Those with end stage renal disease (ESRD) were between the ages of 40-49 and 50-59.
CONCLUSIONS: In Shanxi province, the number of hemodialysis patients rises annually. The incidence of diabetic nephropathy and hypertensive nephrosclerosis rise with years. Timely hemodialysis and improvement are required.