ĐẶC ĐIỂM LÂM SÀNG VÀ PHÂN BỐ CA LỌC MÁU CHU KỲ TẠI BỆNH VIỆN ĐA KHOA XANH PÔN

Abstract

Objective: A cross-sectional descriptive study of 186 patients on hemodialysis at the Hemodialysis Unit at Saint’s Paul Hospital from January 2021 to January 2022. Patients over 18 years old, dialysis time over 3 months and agreed to participate in the study. The information collection tool is a set of questions designed based on the research content and variables. Results: The youngest age is 19 years old, the oldest age is 91 years old, the mean age is 60 ± 16.3 years old. Male patients 47.3%, female patients 52.7%. 26.9% of patients had dialysis time less than one year, 18.2% of patients had dialysis time more than 10 years. Causes of chronic kidney failure: 41.9% due to hypertension, 22.6% due to diabetes. Comorbidities: 95.7% with hypertension, 79.6% anemia, 48.4% heart failure, 29% diabetes, 64.2% hyperparathyroidism, 14% inflammation chronic viral hepatitis.Clinical symptoms: 14% showed continuous shortness of breath before dialysis, 3.2% after dialysis. Cough were present in 15.1% of patients before dialysis, 3.2% after dialysis. There were 36.6% of patients with edema before dialysis, 12.9% after dialysis. Dry skin before filtration was 7.5%, after filtration was 11.8%. Before filtration, 37.6% of patients had cramps, after treatment was 41.9%. There were 11.8% of patients with nausea before filtration and after filtration were 9.7%. Symptoms of dizziness, headache accounted for 44.1% and 22.6% before filtration, 22.6% and 14% after filtration. The first shift of hemodialysis patient has more male than female, the third shift has more female patients than male. The first shift of hemodialysis patient has no difference between working and non-working age, the second shift has a higher non-working age, the third shift has a higher working age.