Optimum dialysis treatment for patients over 60 years with primary renal disease. Survival data and clinical results from 242 patients treated either by haemodialysis or haemofiltration.

K Schaefer, G Asmus, E Quellhorst, A Pauls, D von Herrath, J Jahnke
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Abstract

An analysis of the data of 180 haemodialysis patients and 62 haemofiltration patients over 60 years of age when commencing treatment, clearly shows that this age group of patients (when suffering from primary renal disease) has a very good chance of surviving many years when treated with either haemodialysis or haemofiltration. This refers also to patients being older than 75 or 80 years, who have survival rates of 50 per cent after five years and three years respectively. The presented data further indicate that chronic haemofiltration seems to be the superior treatment when compared with acetate haemodialysis for the treatment of elderly renal patients, as the survival rates are at any chosen time interval higher with haemofiltration than with haemodialysis.

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60岁以上原发性肾病患者的最佳透析治疗。242例接受血液透析或血液滤过治疗的患者的生存数据和临床结果。
对180名血液透析患者和62名开始接受治疗时年龄超过60岁的血液滤过患者的数据进行分析,清楚地表明,这一年龄组的患者(当患有原发性肾脏疾病时)在接受血液透析或血液滤过治疗时,有很好的机会存活多年。这也指年龄超过75岁或80岁的患者,他们在5年和3年后的存活率分别为50%。目前的数据进一步表明,慢性血液滤过似乎比醋酸血液透析治疗老年肾病患者更优越,因为在任何选择的时间间隔内,血液滤过的生存率都高于血液透析。
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