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目的了解本院维持性血液透析患者住院的年龄、性别、入院原因及并发症情况,为降低本县尿毒症患者住院率提供依据。方法对本院2010年1月-2014年1月出院病案首页诊断为慢性肾衰竭(CKD5期)的病例进行统计处理及回顾性分析,分析患者住院原因构成,按年龄20岁~39岁、40岁~59岁、60岁以上分组,分析主要病因在各年龄段分布情况,比较年龄与主要病因之间的关系。结果 4年来共有尿毒症住院患者225例,住院患者随年龄增长而增加,以60岁以上患者最多,约占60.44%,其中入院病因以感染因素最常见,约占49.33%,其次为心血管并发症,约占14.67%。单因素分析结果显示,年龄、血红蛋白、白蛋白、感染、心血管并发症是维持性血液透析患者住院的危险因素。结论感染及心血管并发症是尿毒症患者入院的主要原因,有效防治此类并发症的发生可减少患者的再入院率。
Objective To understand the hospitalization of patients with maintenance hemodialysis patients age, gender, reasons for admission and complications, in order to reduce the hospitalization rate of uremia patients in this county to provide the basis. Methods The cases diagnosed as chronic renal failure (CKD5) in our hospital from January 2010 to January 2014 were statistically analyzed and analyzed retrospectively. The causes of hospitalization were analyzed according to the age of 20 to 39 and 40 Age 59 years old, 60 years old group, analysis of the main causes of the distribution in all age groups, comparing the relationship between age and the main cause. Results In the past 4 years, there were 225 inpatients with uremia, and the number of inpatients increased with age, with the highest in patients over 60 years old accounting for 60.44%. Among them, the most common cause of admission was infection, accounting for 49.33%, followed by cardiovascular complications Disease, accounting for 14.67%. Univariate analysis showed that age, hemoglobin, albumin, infection, and cardiovascular complications were the risk factors of hospitalization for maintenance hemodialysis patients. Conclusion Infection and cardiovascular complications are the main reasons for hospitalization of uremic patients. Effective prevention and treatment of such complications can reduce the re-admission rate of patients.