Curative Effect Comparison of Hemodialysis Therapy in Diabetic Nephropathy and Nondiabetic Nephropathy Patients

Objective To explore the clinical curative effect of hemodialysis in diabetes nephrosis and nondiabetic nephropathy patients,and the measures of reducing complications,improve the life quality and long-term survival of patients.Methods A retrospective study was done from January 2007 to January 2008,52 patients with diabetes nephrosis were selected and 50 patients without diabetes nephrosis were selected as control group.The cause of death,complications and survival of the two groups of patients were compared.Results 3 years later,there were 28 survivals(53.85%)in the diabetic nephropathy group and there were 39 survivals(78%)in the control group.The 3-year survival rate in the diabetes nephrosis group was lower than that in the control group,the difference was statistically significant(P0.05).In the diabetes nephrosis group,11 case(45.83%)died of infection;5 cases(20.83%)died of cardiovascular disease;3 patients(12.5%)died of cerebrovascular diseases;5 cases(20.83%)died of other reasons.Conclusion The curative effect of hemodialysis in diabetic nephropathy patients is worse than that in nondiabetic nephropathy patients.The diabetes nephrosis patients should begin hemodialysis as early as possible,during treatment active control of blood pressure,lipids,and sugar,and improvement of the nutritional status and anemia of the patients,should be done,which can improve the clinical symptoms and the survival rate.