The number of elderly Chronic Renal Failure patients receiving long-term maintenance Dialysis treatment and their proportion in dialysis patients increased year by year. How to help improve quality life of the elderly in dialysis? Following this article to get answer, or you can consult ONLINE DOCTOR directly in free.
Because elderly patients have different characteristics in etiology, pathophysiology, clinical characteristics and treatment from ordinary chronic renal failure patients, how to improve the treatment effect and quality of life of this special group of patients and prolong the survival time has become an important topic.
Cardiovascular disease is the leading cause of death in elderly patients with chronic renal failure.
This is because there are many traditional cardiovascular risk factors in elderly patients with chronic renal failure, such as hypertension, type 2 diabetes mellitus, hyperlipidemia and so on. After entering the uremic stage and receiving maintenance hemodialysis treatment, these patients'kidney diseases also increase the risk factors unique to uremia, such as hemodynamic abnormalities, renal anemia, abnormal calcium and phosphorus metabolism, electrolyte disorders, and slow blood flow. Sexual inflammation, etc. At the same time, patients have risk factors during and between dialysis, such as changes in heart filling, blood pressure fluctuations, changes in blood electrolyte levels, and biocompatibility of dialysis membranes.
The study found that the incidence of coronary heart disease in elderly hemodialysis patients increased with the increase of age and the prolongation of the duration of hemodialysis. At the same time, if patients with diabetes or hypertension, smoking, inappropriate hemodialysis treatment and other factors, the incidence of coronary heart disease in elderly hemodialysis patients will further increase.
For the prevention and treatment of cardiovascular diseases in elderly patients with chronic renal failure, efforts should be made to control blood pressure, and strive to control blood pressure within 130/90 mmhg. When necessary, we can take a variety of antihypertensive drugs to actively improve renal anemia, reduce blood lipids and correct the disorder of calcium and phosphorus metabolism. If accompanied by diabetes mellitus, we should control blood sugar and quit smoking. These measures can reduce the incidence of cardiovascular diseases in elderly patients with chronic renal failure and hemodialysis, and thus reduce their mortality.