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《糖尿病肾病所致终末期肾脏病维持性血液透析患者贫血的.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国血液净化2014~6月第13卷第6期Chin.TBloodPurif,June,2014,Vo1.6,No.13·4330·临床研究·糖尿病肾病所致终末期肾脏病维持性血液透析患者贫血的多中心临床研究王逸申盛晓华汪年松崔勇平俞岗许涛【摘要】目的调查糖尿病’肾病(diabeticnephropathy,DN)所致终末期肾脏病维持性血液透析患者的贫血情况,从而为临床上制订更好的DN治疗策略提供依据。方法收集上海市39家血液透析中心因糖尿病。肾病所致终末期肾脏病维持性血液透析的558例患者的贫血相关的临床和实验室检查资料,并进行相关分析。结果558例
2、患者中贫血患病率为90.1%,男女患者贫血的患病率无显著性差异(P=0.639);各年龄段糖尿病肾病患者的血红蛋白有显著性差异(P=O.001),各年龄组患者发生贫血率呈上升趋势(P=0.003);红细胞生成素(EPO)治疗率为85.1%,使用EPO平均剂量为139.50士59.12(17.76~430.11)u/(Kg.W);轻、中、重度贫血组EPO应用率无显著性差异(P=O.149);各个不同贫血程度组EPO使用剂量之间有差别(P=O.006),重度贫血组剂量最高,轻度贫血组剂量最低。结论糖尿病肾病所致终末期肾脏病维持性血液透析患者普遍存在贫
3、血,其贫血的治疗率较高,但达标率低。【关键词】贫血糖尿病肾脏病终末期肾脏病维持性血液透析中图分类号:R692.5文献标识码:Adoi:10.3969/j.issn.1671—4091.2014.06.004AmulticenterclinicalstudyofanemiainmaintenancehemodialysispatientswithendstagerenaldiseaseduetodiabeticnephropathyWANGYi-shen,SHENGXiao—hua,WANGNian-song,CUIYong-ping,yGang,
4、XUTaoDepartmentofNephrology,ShanghaiSixthPeopleSHospitalShanghaiJiaotongUniversi~Shang-hai200233,ChinaCorrespondingau~orWANGNian—song,e-mail:wangniansong2012@163.com[Abstract]0bjectiveThisstudyinvestigatedtheprevalenceandtreatmentofanemiainmaintenancehe—modialysis(MHD)patient
5、sduetodiabeticnephropathy(DN),inordertoupgradethetreatmentforDN.MethodsAtotalof558patientswithdiabetickidneydiseasetreatedintheperiodfromMar.2011toMar.2012inthe39hemodialysiscentersinShanghaiwereenrolled.DatawerestatisticallyanalyzedusingSPSS19.0forWindows.ResultsTheprevalenc
6、eofanemiawas90.1%inthe558patientsandwasindiferentbe—tweenmenandwomen(P=O.639).Hemoglobin(Hb)wassignificantdiferentamongdiferentagegroups(P=0.001)andanemiaprevalenceincreasedwithage(0.003).Erythropoietin(EPO)wasgivenin85.1%pa—tients,andtheaverageEPOdosagewas139.5+59.1(17.8~430
7、.1)U/(kg·week).ThepercentageofEPOad—ministrationwassimilar(P=0.149),butthedosagewasdiferent(e=-0.006)amongsevere,moderateandmildanemiapatients.EPOdosagewas~aehighestinsevereanemiapatientsandwasthelowestinmildanemiapa—tients.ConclusionsTheprevaleficeofanemiawashigherinMHDpatie
8、ntswithDN.EPOwasgiventomostanemicMHDpatientswithDN.butonlyafeWpatien
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