Clinical Investigate And Analysis Of396Cases Of Hemodialysis Patients In Suzhou

Objective: According to the status of396hemodialysis patients in Suzhou Municipalhospital，we can conclude the distribution of sex and age of hemodialysis patients、primarydisease、dialysis method and frequency、hemodialysis quality.We can realize the presentsituation of hemodialysis patients in Suzhou, this provide data for quality control.Methods: We collected the data from396patients with end stage renal diseases whogot confirmed diagnosis and were registered in our hemodialysis center from January2012to January2014in Suzhou Municipal Hospital. The investigation included sex and agestatus，primary disease, dialysis method, dialysis frenquency,dialysis duration, dialysisprognosis，vascular access and dialysis complications of hemodialysis patients.Results:1. Sex and age:There were214male cases (54.04%)and182female cases(45.96%).The ratio for male to female was1.17:1. The age extent of the patients was from20to92years old, and the average age was51.20±14.71years old.The most case werewith age of51-60years old,which were101cases (25.50%)；the least ratio were10.35%,which were with age of less than40years old.Mainly patients distributed in40-60yearsold.2. Primary disease and distribution: The major primary diseases were chronicglomerulonephritis294cases (74.24%), diabetes nephropathy47cases (11.87%),hypertensive nephropathy19cases (4.8%),polycystic kidney diseas14cases (3.54%),cause by SLE and systemic vasculltis6cases (1.52%)，unknow reason cause16cases（4.03%）.The first primary disease is chronic glomerulonephritis,second is diabetesnephropathy.3. Dialysis method and dialysis frequency: Merely hemodialysis was used in324cases (81.82%), hemodialysis combined with intermittent hemodiafiltration in48cases(12.12%)，hemodialysis combined with high flux hemodialysis in7cases (1.77%)and hemodialysis combined with intermittent hemodiafiltration and high flux hemodialysis in17cases（4.29%）. There were only1cases (0.25%) under hemodialysis once weekly,141cases (35.60%),252cases (63.64%) under hemodialysis twice weekly and three timesweekly,2cases under hemodialysis four times weekly.4. Vascular access: In the396prevalent patients,331cases (83.59%) of them usedarteriovenous fistula as a vascular access,50cases (12.62%) long-term cuffed catheter,15cases (3.79%) provisional catheter.5. Dialysis duration and prognosis:The shortest duration was only6months, thelongest duration was14years. There were56cases(14.14%) with duration of below oneyear,210cases (53.03%) with duration of1-5years and122cases (30.81%) with durationof5-10years. Dialysis age more than10years was found in only8cases (2.02%). Therewere329cases (83.08%) in maintenance hemodialysis，14cases (3.54%) had to beenother hospitals,4cases (1.01%) transformed to peritoneal dialysis,6cases (1.52%) hadbeen kidney transplantation,1cases (0.25%)refused further treatment and42cases (10.60%)had been dead. The first cause of death is cardiovascular diseases in14cases（33.33%），second is cerebrovascular diseases in9case（s21.43%），and infection in6case（s14.29%），sudden death in11cases（26.19%）。6. Hemodialysis complications: In396hemodialysis patients，there were331cases(83.59%) with hypertension，among these patients blood pressure reach the standard（＜140/90mmHg）were163cases（41.16%）.Hemoglobin reach the standard（≥110g/l）were106cases（26.77%）. Calcium reach the standard（2.1mmol/l～2.37mmol/l）were163cases（41.16%）.Phosphorus reach the standard（1.13mmol/l～1.78mmol/l）were134cases（33.84%）.PTH reach the standard （150pg/ml～300pg/ml） were98cases（24.75%）.Albumin reach the standard（≥35g/l）were270cases（68.18%）.Conclusion:1.The majority of hemodialysis patients are middle-aged people in our hospital.It ismore males than females.2.The primary disease of hemodialysis patients is chronic glomerulonephritis,secondly are diabetic nephropathy and hypertension nephropathy.3.The main dialysis method is merely hemodialysis, and dialysis frequency is2to3times per week. 4. The main vascular access is arteriovenous fistula in hemodialysis patients.5.The main complications are anemia, hypertension, calcium and phosphorusmetabolism disorder and innutrition.