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《Chinese General Practice》 2007-09
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Analysis of Death Causes and Predictive Factors in Patients Receiving Maintenance Hemodialysis and Peritoneal Dialysis

GUO Dong-hua.LIU Wen-hu,ZHANG Dong-liang,et al.Division of Nephrology,the Central Hospital of Beijing Bureau of Prison Administration,Beijing 100054,China  
Objective To analyze the death causes and the death predictive factors in patients receiving maintenance of hemodialysis(HD)and peritoneal dialysis(PD),and to study the influencing factors to long term survival in dialysis patients.Methods Retrospective analysis was carried out on all uremia patients receiving maintenance dialysis for more than 3 months in our hospitals in 5 years from January 1999 to January 2004.Among the patients 177 received HD and 224 received PD,comparison was done between the patients in two groups on the etiological diagnoses and death predictive factors;and the patients' age,sex,primary diseases,dialysis age,as well as the patients' blood pressure,death causes,the values of hemoglobin(Hb),blood urea nitrogen(BUN),serum creatinine(Scr),product of calcium and phosphorus(Ca × P),albumin(A),total cholesterol(CHO),triglyceride(TG),and(KT/V)were recorded.Cox regression analysis was conducted to find out the death predictive factors in HD and PD group.Results In HD group there were 60 patient died,and in PD group 81;there was a significant difference in total constituent ratio of etiology between the two groups(P0.05).There was no significant difference.in constituent ratio of death cause between the two groups(P0.05).Age,BUN,Scr,Ca × P,KT/V were the death predictive factors for HD group(P0.05).A,CHO,BUN,urine quantity,age were the death predictive factors for PD group(P0.05).Conclusion The main death causes for HD and PD were cardiocerebral events.The constituent ratios in the two groups were similar;clinically the concrete conditions of a patient should be the basis for determining the dialysis measure for him.
【CateGory Index】: R459.5
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