Strategies and analysis of difficulties on hemodialysis for diabetic nephropathy

Objective Hemodialysis was performed on the patients with chronic renal failure caused by diabetic nephropathy.We discussed the difficulties and strategies on hemodialysis for diabetic nephropathy,in order to improve the quality of the treatment of hemodialysis.Methods By using case-control study,we retrospectively analysised the patients with hemodialysis during 2001,1～2008,1,which was divided into diabetic nephropathy group(53 cases)and non-diabetic nephropathy group(50 cases).The serum creatinine,serum urea nitrogen,blood glucose and complications of hemodailysis were observed.Results There were no significant differences of the levels of serum creatinine and urea nitrogen between the two groups,but the incidence of complications was obviously higher in diabetic nephropathy group than in non-diabetic nephropathy group(P0.05).In diabetic nephropathy group,the levels of serum creatinine and urea nitrogen after hemodialysis were significantly higher in died patients than survivors.Besides,the establishment of hemodialysis vascular access was more difficult in diabetic nephropathy group.Conclusion Hemodailysis was effective on the treatment of end stage renal failure caused by diabetic nephropaty with more complications and difficulties on the establishment of hemodialysis vascular access than non-diabetic nephropaty,so we should take hemodialysis and establish vascular access by individualization.