Clinical features of elderly patients with maintenance hemodialysis
Objective To investigate the clinical features of elderly maintenance hemodialysis patients and provide the clinical basis for their hemodialysis treatment.Methods Fifty elderly maintenance hemodialysis patients(≥65 years old) as the observation group and 47 young maintenance hemodialysis patients(&...
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Editorial Department of Journal of Clinical Nephrology
2016-01-01
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| Series: | Linchuang shenzangbing zazhi |
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| author | LUO Li-hua GUAN Bao-zhang HUANG Si-bo LIU Fan-na YIN Liang-hong |
| author_facet | LUO Li-hua GUAN Bao-zhang HUANG Si-bo LIU Fan-na YIN Liang-hong |
| author_sort | LUO Li-hua |
| collection | DOAJ |
| description | Objective To investigate the clinical features of elderly maintenance hemodialysis patients and provide the clinical basis for their hemodialysis treatment.Methods Fifty elderly maintenance hemodialysis patients(≥65 years old) as the observation group and 47 young maintenance hemodialysis patients(<65 years old) as the control group from the First Affiliated Hospital of Jinan University in August 2015 were enrolled in this study.The clinical data of two groups were collected and analyzed,including primary diseases,vascular access,adequate dialysis index,nutritional status and the incidence of dialysis complications.Results The incidence of diabetic nephropathy and hypertension renal arteriosclerosis in elderly hemodialysis group was higher than in young and middle-aged group.The glomerulonephritis was the primary cause of two groups of different ages in dialysis patients.There was no significant difference in primary disease constitution ratio between the two groups(χ~2 = 21.332,P = 0.003).In elderly dialysis time was 4~204 months[mean(51.08±46.30)months],and that in young and middle-aged group was 4~180 months[mean(45.43±40.43)months]with the difference being not statistically significant.More people chose to use long-term indwelling catheter cuff subcutaneous tunnel for elderly hemodialysis patients.There was no statistically significant difference between two groups(χ~2 = 4.298,P=0.117).The levels of serum phosphorus,serum creatinine,uric acid,and albumin were lower in the elderly patients than in the young hemodialysis patients(P<0.05).The levels of serum calcium,intact parathyroid hormone,alkaline phosphatase,urea nitrogen hemoglobin and C-reactive protein were not statistically significant between two groups(P>0.05).Kt/V in elderly group and young group was(1.54±0.27) and(1.59±0.29) respectively with the difference being not significant(t= 0.787,P = 0.433).The cardiothoracic ration in elderly group and middle-aged group was(0.57 ± 0.54) and(0.53 ± 0.51) respectively,with the difference being statistically significant(t=2.215,P = 0.029).The incidence of dialysis complications in the elderly group(24%) was higher than that in the middle-aged group(8.5%),but there was no significant difference between the two groups.Conclusions We should pay respect to the fact that the proportion of diabetic nephropathy and hypertension renal arteriosclerosis gradually upgrades.Improving nutritional status,keeping vascular access unobstructed for a long time and decreasing complications were helpful to improve the prognosis and survival rate of elderly patients with maintenance hemodialysis. |
| format | Article |
| id | doaj-art-7d416a59af0944d292a3e7dbe5660f45 |
| institution | OA Journals |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2016-01-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
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| spelling | doaj-art-7d416a59af0944d292a3e7dbe5660f452025-08-20T02:28:49ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902016-01-0135035457918423Clinical features of elderly patients with maintenance hemodialysisLUO Li-huaGUAN Bao-zhangHUANG Si-boLIU Fan-naYIN Liang-hongObjective To investigate the clinical features of elderly maintenance hemodialysis patients and provide the clinical basis for their hemodialysis treatment.Methods Fifty elderly maintenance hemodialysis patients(≥65 years old) as the observation group and 47 young maintenance hemodialysis patients(<65 years old) as the control group from the First Affiliated Hospital of Jinan University in August 2015 were enrolled in this study.The clinical data of two groups were collected and analyzed,including primary diseases,vascular access,adequate dialysis index,nutritional status and the incidence of dialysis complications.Results The incidence of diabetic nephropathy and hypertension renal arteriosclerosis in elderly hemodialysis group was higher than in young and middle-aged group.The glomerulonephritis was the primary cause of two groups of different ages in dialysis patients.There was no significant difference in primary disease constitution ratio between the two groups(χ~2 = 21.332,P = 0.003).In elderly dialysis time was 4~204 months[mean(51.08±46.30)months],and that in young and middle-aged group was 4~180 months[mean(45.43±40.43)months]with the difference being not statistically significant.More people chose to use long-term indwelling catheter cuff subcutaneous tunnel for elderly hemodialysis patients.There was no statistically significant difference between two groups(χ~2 = 4.298,P=0.117).The levels of serum phosphorus,serum creatinine,uric acid,and albumin were lower in the elderly patients than in the young hemodialysis patients(P<0.05).The levels of serum calcium,intact parathyroid hormone,alkaline phosphatase,urea nitrogen hemoglobin and C-reactive protein were not statistically significant between two groups(P>0.05).Kt/V in elderly group and young group was(1.54±0.27) and(1.59±0.29) respectively with the difference being not significant(t= 0.787,P = 0.433).The cardiothoracic ration in elderly group and middle-aged group was(0.57 ± 0.54) and(0.53 ± 0.51) respectively,with the difference being statistically significant(t=2.215,P = 0.029).The incidence of dialysis complications in the elderly group(24%) was higher than that in the middle-aged group(8.5%),but there was no significant difference between the two groups.Conclusions We should pay respect to the fact that the proportion of diabetic nephropathy and hypertension renal arteriosclerosis gradually upgrades.Improving nutritional status,keeping vascular access unobstructed for a long time and decreasing complications were helpful to improve the prognosis and survival rate of elderly patients with maintenance hemodialysis.http://www.lcszb.com/thesisDetails?columnId=57918423&Fpath=home&index=0The agedMaintenance hemodialysisEnd stage renal disease |
| spellingShingle | LUO Li-hua GUAN Bao-zhang HUANG Si-bo LIU Fan-na YIN Liang-hong Clinical features of elderly patients with maintenance hemodialysis Linchuang shenzangbing zazhi The aged Maintenance hemodialysis End stage renal disease |
| title | Clinical features of elderly patients with maintenance hemodialysis |
| title_full | Clinical features of elderly patients with maintenance hemodialysis |
| title_fullStr | Clinical features of elderly patients with maintenance hemodialysis |
| title_full_unstemmed | Clinical features of elderly patients with maintenance hemodialysis |
| title_short | Clinical features of elderly patients with maintenance hemodialysis |
| title_sort | clinical features of elderly patients with maintenance hemodialysis |
| topic | The aged Maintenance hemodialysis End stage renal disease |
| url | http://www.lcszb.com/thesisDetails?columnId=57918423&Fpath=home&index=0 |
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