维持性血液透析患者的死亡原因及危险因素分析

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目的分析维持性血液透析(MHD)患者的死亡原因及危险因素。方法选取我院收治的行MHD的患者38例死亡患者作为观察组,选取同期行MHD的存活患者55例作为对照组,分析死亡原因及危险因素。结果观察组主要的死亡原因是心脑血管疾病。危险因素有感染、高血压、贫血及高龄。结论控制患者血压、改善贫血症状、早期治疗感染等措施均可从维持性透析患者死亡危险因素层面上进行预防,延长患者生存期,提高患者生活质量。 Objective To analyze the cause of death and risk factors in patients with maintenance hemodialysis (MHD). Methods Thirty-eight patients with MHD who were treated in our hospital were selected as the observation group and 55 survivors with MHD during the same period were selected as the control group to analyze the cause of death and risk factors. Results The main cause of death in the observation group was cardiovascular and cerebrovascular diseases. Risk factors are infection, high blood pressure, anemia and advanced age. Conclusion The measures of controlling the blood pressure, improving the symptoms of anemia and treating the infection in the early stage can prevent the risk factors of death in maintenance dialysis patients, prolong their life span and improve their quality of life.
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