【摘 要】
：
目的 了解贵阳市终末期肾病(ESRD)接受规律血液透析患者的病因构成、治疗方法和医疗负担现状.方法 收集贵阳市12个血液透析中心规律透析的ESRD病例,以病历记载为依据,采集病
【机 构】
：
第三军医大学军事预防医学院流行病学教研室,重庆400038;贵州省人民医院肾脏泌尿疾病研究所,贵州贵阳550002;第三军医大学军事预防医学院流行病学教研室,重庆,400038;贵州省人民医院肾脏泌尿
论文部分内容阅读
目的 了解贵阳市终末期肾病(ESRD)接受规律血液透析患者的病因构成、治疗方法和医疗负担现状.方法 收集贵阳市12个血液透析中心规律透析的ESRD病例,以病历记载为依据,采集病例一般特征、原发疾病、并发症、透析方法、医疗费用、医疗保险模式等信息并进行分布特征描述.结果 2011～2012年度贵阳市12个血液透析中心ESRD血液透析患者756例,男女之比为1.4∶1；平均年龄(49.1±14.7)岁,文化程度在大专及大专以上学历135例(17.9％).前5位原发疾病分别为慢性肾小球肾炎407例(53.8％),糖尿病肾病132例(17.5％),高血压肾损害124例(16.4％),多囊肾28例(3.7％),药物性肾损害13例(1.7％)；透析血管通路为:动静脉自体内瘘466例(61.6％),颈内静脉长期导管243例(32.1％),移植血管瘘33例(4.4％),直接穿刺12例(1.6％),股静脉长期导管2例(0.3％)；并发症及相关治疗情况:血红蛋白(Hb)达标271例(35.9％),使用促红细胞生成素治疗肾性贫血747例(98.8％),使用铁剂者仅273例(36.1％),使用叶酸治疗364例(48.2％),血磷达标354例(46.8％),全段甲状旁腺素达标123例(16.2％)；患者月均总医疗费用为(6072.6±3 381.1)元；患者医疗保险模式以各种形式的医疗保障为主,全自费患者仅占2.9％.结论 贵阳市规律血液透析患者中ESRD其原发疾病以慢性肾小球肾炎为主；动静脉自体内瘘为最主要的血管通路；肾性贫血、高磷血症、继发性甲状旁腺亢进等并发症达标率低,治疗的依从性及规范性仍需加强.
其他文献
We explore inelastic cotunneling through a strongly Coulomb-blockaded quantum dot attached to two ferromagnetic leads in the weak coupling limit using a generic
A novel one-dimensional chain-like coordination polymer constructed from 3-nitrobenzene-1,2-dicarboxylic acid, [Cd2(C8H3NO6)2(H2O)4]n·2nH2O, has been synthesiz
Several 6,8-dichloroquinolone analogues were synthesized from the key intermediate compound of 2,3,4,5-tetrachlorobenzene carbonyl chloride, which was obtained
A novel complex Cu(PPh3)2(acac) 1 (PPh3 = triphenylphosphine, acac = acetylacetone) was obtained by a solution reaction and structurally characterized by X-ray
Amphiphilic block copolymers of poly(5-benzyloxy trimethylene carbonate) (PBTMC) and poly(ethylene glycol) (PEG) were synthesized through enzymatic polymerizati
Novel conjugated polymers based on squaric acid having 2,5-Bis[(E)-N-alkylpyrrol-2-ylvinyl]-3-alkylthiophene (PVTVP) unit in the main chain were successfully sy
A practical synthesis of symmetrical vicinal diamines with broad chemistry scope is described. The key step is the ultrasonicwave promoted tandem-reaction, two-
A new approach to common signals classification of relevance vector machine (RVM) was presented and two signal classifiers based on kernel methods of support ve
By the method of the stochastic energetics, we investigate the stochastic resonance (SR) phenomenon of an overdamped Brown particle in an asymmetric bistable po
根据笔者前期研究结果,乌桕叶乙醇提取物的乙酸乙酯萃取部位具有较强的抑螺活性.为分离鉴定乌桕叶中的抑螺活性物质,采用超声波辅助溶剂提取、溶剂分步萃取和多种柱层析联用