中国实用内科杂志

中国实用内科杂志 ›› 2012, Vol. 32 ›› Issue (12): 911-913.

• 专题笔谈 • 上一篇    下一篇

透析患者肾性贫血管理要点

卞维静，程虹   

  1. 作者单位：首都医科大学附属北京安贞医院，北京 100029
  • 出版日期:2012-12-01 发布日期:2012-11-22
  • 通讯作者: 程虹

Management of renal anemia in patients receving hemodialysis

BIAN Wei-jing，CHENG Hong   

  1. Department of Nephrology，Beijing Anzhen Hospital，Capital Medical University，Beijing 100029， China
  • Online:2012-12-01 Published:2012-11-22

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摘要：

透析患者普遍存在不同程度的贫血。贫血能显著地增加透析患者的住院率和病死率;而达到理想且稳定的血红蛋白(Hb)值可以明显降低心脑血管疾病的风险和提高透析患者的生活质量。目前中国贫血治疗的达标率低，Hb波动大，如何纠正透析患者的贫血和维持稳定的Hb水平，参照国际的临床实践指南或建议并结合临床实际情况对透析患者的贫血进行科学的管理是当前最佳的治疗方式。

关键词: 贫血, 血液透析, 心脑血管疾病, 血红蛋白

Abstract:

Anemia of varying severity has been universally encountered in patients receiving hemodialysis and may significantly increase the risk of hospitalization and mortality，suggesting that ideally controlled and stabilized hemoglobin concentration may markedly reduce the risk of cardiovascular and cerebrovascular diseases and improve the quality of life.Given the fact that anemia has been poorly treated and was frequently associated with varying hemoglobin concentration in the Chinese population，correction of anemia at a timely fashion and maintenance of hemoglobin level，when combined with references to international clinical practice guidelines or recommendations and the clinical conditions，appear the optimal strategy for proper administration of anemia in patients receiving dialysis.

Key words: renal anemia, dialysis, cardiovascular and cerebrovascular diseases, hemoglobin

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