Junor B J
West Glasgow Hospitals NHS Trust, Western Infirmary.
Health Bull (Edinb). 1996 Nov;54(6):474-85.
Each year 80-100 people per million of the population develop end stage renal failure and are medically suitable for renal replacement therapy. This need has been met in Scotland in each of the last three years. With current knowledge there is no prospect of measures to prevent renal disease affecting this number in the foreseeable future. The number of patients on renal replacement therapy in Scotland will increase over the next 15 years to approximately 160% of the current number. The mean age of patient on replacement therapy will increase progressively over the next 15 years. The increase in numbers will be in patients receiving 'in centre' haemodialysis and in those with functioning renal transplants. To meet this increase an approximately 3-4 increase in the current 'in centre' haemodialysis facilities will be required. Additional haemodialysis centres should be established to reduce the time spent by patients travelling for treatment and to avoid centres becoming 'impersonal' by becoming too large. Moves to increase the transplantation rate should be encouraged as transplantation offers the best quality of life for patients. Research should be directed towards improving long term graft survival.
每百万人口中每年有80 - 100人发展为终末期肾衰竭，且在医学上适合进行肾脏替代治疗。在过去三年中的每一年，苏格兰的这一需求都得到了满足。就目前的认知而言，在可预见的未来，没有措施能够预防影响这一数量的肾脏疾病。苏格兰接受肾脏替代治疗的患者数量在未来15年内将增加至目前数量的约160%。接受替代治疗的患者的平均年龄在未来15年内将逐步上升。数量的增加将体现在接受“中心内”血液透析的患者以及拥有功能正常的肾移植的患者身上。为满足这一增长需求，目前的“中心内”血液透析设施需要增加约3 - 4倍。应设立更多的血液透析中心，以减少患者前往治疗途中所花费的时间，并避免中心因规模过大而变得“缺乏人情味”。应鼓励采取措施提高移植率，因为移植为患者提供了最佳的生活质量。研究应致力于提高长期移植存活率。
