丙肝病毒感染对维持性血液透析患者预后影响分析.docVIP

丙肝病毒感染对维持性血液透析患者预后影响分析【摘要】 目的 探讨分析丙肝病毒感染对维持性血液透析患者预后的影响。方法 2001年1月至2005年1月我院维持性血液透析864例,根据有无丙肝病毒感染分为丙肝病毒感染组217例,非丙肝病毒感染组647例,观察两组肝功能情况、生存率并进行比较。结果 丙肝病毒感染率25.11%;丙肝病毒感染组、非丙肝病毒感染组患者的肝功能比较P0.01有显著差异性;丙肝病毒感染组、非丙肝病毒感染组患者的生存率1年生存率比较P0.05,无显著差异性。两组2~4年、5年生存率比较P0.01有显著差异性。结论 丙肝病毒感染对维持性血液透析患者的远期生存率有着显著的影响,严重影响患者的生存质量和生命健康。影响维持性血液透析患者预后的危险因素有高龄、糖尿病、心血管并发症、透析不充分、营养不良等因素,应把丙肝病毒感染列入影响维持性血液透析因素之中。 【关键词】 丙肝病毒感染;维持性血液透析;预后;影响 Hepatitis C virus infection on prognosis of hemodialysis patients Analysis of the Impact ZHANG Xiu.Department of Anyang area hospital Henan 455000,China 【Abstract】 Objective Analysis of hepatitis C virus infection in maintenance hemodialysis patients prognosis.Methods In January 2001 January-2005 hemodialysis in our hospital 864 cases,divided according to whether the hepatitis C virus infection in 217 patients with hepatitis C virus infection,non-group of 647 cases of hepatitis C virus infection were observed liver function case,the survival rate were compared.Results The hepatitis C virus infection rate 25.11%; hepatitis C virus infection,non-hepatitis C virus infection in patients with liver function compared P0.01 significant difference; hepatitis C virus infection,hepatitis C virus infection in patients with non-survival 1-year survival rate comparison P0.05,no significant difference.Groups 2-4,5 year survival rate P0.01 significant difference.Conclusion The hepatitis C virus infection on hemodialysis patients with long-term survival rate has a significant impact,seriously affecting the quality of life of patients and the life and health.Affect the prognosis of patients with maintenance hemodialysis the risk factors age,diabetes,cardiovascular complications,inadequate dialysis,malnutrition and other factors,should be included in the impact of hepatitis C virus infection in hemodialysis among factors. 【Key words】Hepatitis C virus infection; Maintenance hemodialysis; Prognosis; Impact 维持性血液透析(血透)是慢性肾衰尿毒症的基本治疗方法,维持患者的生命的手段,是大多数尿毒症最后结果。血液透析(血