维持性血液透析治疗糖尿病肾病的临床疗效分析
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[摘要] 目的 探讨对糖尿病肾病患者进行维持性血液透析的临床特点及处理措施，以减少患者的并发症，提高其生活质量和长期的生存率。方法 回顾性分析我院2004年6月～2007年5月间收治的60例糖尿病肾病患者的临床资料，选取同期收治的60例非糖尿病肾病患者的临床资料作为对照。比较两组患者的死亡原因、并发症以及生存率。结果 3年后，糖尿病肾病组患者生存32例，生存率为53.3%；非糖尿病肾病组患者生存48例，生存率为80.0%，糖尿病肾病患者的3年生存率明显低于非糖尿病肾病组，差异有统计学意义(P<0.05)。糖尿病肾病组患者因感染死亡12例，占42.85%；其次为心血管疾病8例，占28.57%；脑血管疾病5例，占17.86%；其他3例，占10.71%。糖尿病肾病组的并发症发生率较高，主要为感染、心血管疾病、低血压和脑血管意外。结论 糖尿病肾病患者尽早进行血液透析，在治疗期间要积极的控制血糖、血脂、血压并改善其营养状况和贫血，充分地进行血液透析，积极地控制并发症，可以改善患者的临床症状，提高生存率，疗效满意，值得在临床推广。
[关键词] 糖尿病肾病；尿毒症；血液透析
[中图分类号] R587.2[文献标识码] B[文章编号] 1673-9701(2011)19-157-02
Hemodialysis Therapy in Clinical Curative Effect of Diabetic Nephropathy
HUANG Yunxia
Kidney Internal Medicine，Pujiang County People's Hospital Pujiang 322200，China
[Abstract] Objective To explore the diabetes nephrosis patients on the clinical characteristics of hemodialysis and the measures of reducing complications，improve the life quality and long-term surial of patients. Methods A retrospective study was done from June 2004 to May 2007， 60 patients with diabetes nephrosis were selected and 60 patients without diabetes nephrosis were selected as control group. Compared the cause of death，complications and survival of the two groups of patients. Results Three years later，there were 32 patients survival(53.3%) in thepatients with diabetic nephropathy and there were 48 patients survival(80.0%) in the patients without diabetes groups.The survival rate of three years in the diabetes nephrosis group was lower than that in the without diabetes groups，the difference was statistically significant(P<0.05). In the diabetes nephrosis group，there were 12 case(42.85%) died of infection；secondly，8 cases(28.57%) of cardiovascular disease； 5 patients(17.86%) of cerebrovascular diseases；3 cases(10.71%) died of other reasons. Diabetic nephropathy groupv has higher complication，mainly for infections，cardiovascular disease，hypotension and cerebrovascular accident. Conclusion The diabetes nephrosis patients should begin to hemodialysis ......
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