摘要
目的分析老年人慢性肾功能衰竭(慢性肾衰)的临床特征,探讨其治疗策略。方法对680例≥60岁和402例同期住院的<60岁的慢性肾衰患者的临床资料进行临床回顾性分析。结果老年人慢性肾衰的病因明显不同于非老年组,主要是高血压肾病(28.68%)、糖尿病肾病(23.09%)和慢性肾小球肾炎(22.79%)。临床表现多样,以胃肠道症状为主。老年人慢性肾衰患者多同时伴发一种或多种其他系统疾病,并发症主要是感染、心脑血管并发症、营养不良,发生率均明显高于非老年组。老年人慢性肾衰的肾脏替代治疗多接受血液透析治疗(63.23%),11.47%接受腹膜透析治疗,未接受透析或移植者达14.41%。接受血液透析治疗组的心脑血管并发症发生率及因心脑血管并发症死亡率均高于接受腹膜透析治疗组。结论老年慢性肾衰患者具有心脑血管并发症多,感染、营养不良等发生率高,接受透析治疗比例低等特点,应早期诊断及加强综合治疗,腹膜透析在老年人慢性肾衰的治疗中有更多的优势。
Objective To analyze the clinical features and treatment strategies of chronic renal failure（CRF） in elderly patients. Methods The clinical data of 680 elderly CRF patients（≥60 years） and 420 non -elderly CRF patients （ 〈 60 years） were collected and analyzed. Results Etiology analysis revealed significant difference between two groups ,while the elderly group were most caused by hypertensive nephropathy （28.68%） , diabetes nephropathy （23. 09% ） and chronic glomerulonephritis （22.79%）. The clinical manifestations were very variable, usually manifested as gastrointestinal symptoms. Most elderly CRF patients were accompanied by one or more of the following disease： hypertension, diabetes mellitus, coronary artery disease, etc. Compared with non - elderly CRF patients, the elderly group had a high incidence of infection, cardiovascular and cerebralvascular disease and malnutrition. Most of the elderly CRF patients accepted hemodialysis（HD） treatment（63.23% ）, about 11.47% patients accepted peritoneal dialysis（PD）, 14.41% of elderly CRF patients took neither dialysis nor renahransplantation. The patients accepted HD treatment had a high incidence of cardiovascular and cerebralvascular complications. Conclusion The elderly CRF patients characterized as high cardiovascular and cerebralvascular complications, high incidence of infection and malnutrition, low dialysis treatment rate,etc. Early diagnosis and multiple treatment of elderly CRF patients are importment. The selection of renal replacement treatment should be individual. PD treatmemt have more advantage in the treatmemt of elderly CRF patients.
出处
《临床医学》
CAS
2007年第12期1-4,共4页
Clinical Medicine
关键词
老年人
慢性肾衰
血液透析
腹膜透析
The elderly
Chronic renal failure
Hemodialysis
Peritoneal dialysis
