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影响尿毒症病人生存率的原因较多,为了寻找其中的关键性因素,对97例就治病人进行分析,经Logistic回归得出由收缩压、心率、血肌酐、血清白蛋白、血尿酸、糖尿病等组成的与生存相关的多元模型,可作为临床对病人预后的评估,其中包括较高的收缩压、较快的心率和糖尿病可能是危险性因素(OR<1),而较高的血肌酐、血清白蛋白水平可能是保护性因素(OR>1)。由于以上因素直接或间接影响,死因中以心血管并发症占第一位,故临床上对它们的处理好坏将影响到患者的预后。
There are many reasons that affect the survival rate of patients with uremia. In order to find out the key factors, 97 cases of treated patients were analyzed. Logistic regression showed that systolic blood pressure, heart rate, serum creatinine, serum albumin, Diabetes and other survival-related multivariate models can be used as clinical assessment of the prognosis of patients, including higher systolic blood pressure, faster heart rate and diabetes may be risk factors (OR <1), while higher blood Creatinine and serum albumin levels may be protective factors (OR> 1). Because of the above factors directly or indirectly affect the cause of cardiovascular complications in the first place, so the treatment of their good or bad will affect the patient’s prognosis.