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伊朗血液透析患者慢性肾衰竭的病因

Causes of chronic renal failure among Iranian hemodialysis patients.

作者信息

Malekmakan Leila, Haghpanah Sezaneh, Pakfetrat Maryam, Malekmakan Alireza, Khajehdehi Parviz

机构信息

Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Iran.

出版信息

Saudi J Kidney Dis Transpl. 2009 May;20(3):501-4.

Abstract

Chronic renal failure (CRF) is characterized by impaired renal function, which is progressive and irreversible. This study was carried out to investigate the status and causes of CRF in HD patients in Fars Province, Iran. In this cross-sectional study, HD patients were evaluated in Fars province. Information for demographic characteristics, and medical history were obtained by using a questionnaire administered by trained staff. 633 cases including 371 male and 262 female were studied. The mean KT/V was 1 0.4. KT/V > 1.2 was achieved in only 32.1% (203/633) of all patients. The mean BMI was 24 +/- 4.5. The most common causes of CRF were hypertension (30.5%) and diabetes mellitus (30.1%). In conclusion most common causes of CRF in this region were hypertension and diabetes mellitus. Better management of hypertension and diabetes could prevent patients from ending up with end stage renal disease.

摘要

慢性肾衰竭(CRF)的特征是肾功能受损,这种损害是进行性且不可逆的。本研究旨在调查伊朗法尔斯省血液透析(HD)患者中慢性肾衰竭的状况及病因。在这项横断面研究中,对法尔斯省的血液透析患者进行了评估。通过由经过培训的工作人员发放问卷来获取人口统计学特征及病史信息。共研究了633例患者,其中男性371例,女性262例。平均尿素清除率(KT/V)为1.04。所有患者中仅有32.1%(203/633)的患者达到了KT/V>1.2。平均体重指数(BMI)为24±4.5。慢性肾衰竭最常见的病因是高血压(30.5%)和糖尿病(30.1%)。总之,该地区慢性肾衰竭最常见的病因是高血压和糖尿病。更好地控制高血压和糖尿病可以防止患者发展至终末期肾病。

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