Newly hemodialysis patients with diabetic nephropathy

Objective To survey the clinical situation of the newly hemodialysis patients with diabetic nephropathy,and to understand the effectiveness of integration treatment on diabetic nephropathy.Methods A total of 125 patients with diabetic nephropathy who newly underwent hemodialysis in our hospital in the past eight years were enrolled in this study.The subjects were then assigned to two groups:group A was not followed up by renal specialists,group B was followed up by renal specialists.Patients'sources,level of education,awareness of uremia and time from onset of kidney disease to hemodialysis,treatment,biochemical indicators of the first hemodialysis and complications were compared between the two groups.Results In comparison with group B,the patients of group A showed lower disease awareness and level of education and reduced duration from discovering kidney disease to hemodialysis.Anemia,metabolic acidosis,calcium and phosphorus metabolism disorder,hypoalbuminemia,emergency dialysis and blood pressure control were significantly different between the two groups (all P ＜ 0.05).In some aspects,such as low protein diet+ compound keto acid treatment,correcting renal anemia,monitoring parathyroid hormone,regulating the balance of calcium and phosphorous,and controlling blood pressure,the group A was worse than group B (all P ＜ 0.05).Conlusions The integrated treatment of diabetic nephropathy is not yet in place,mainly related with follow-up investigators and patient's level of education,etc.Public propaganda,health education and early intervention should be strengthened. Key words: Diabetic nephropathy;  Hemodialysis;  Intergration treatment