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目的:探究延缓Ⅳ期糖尿病肾病患者进入透析的相关因素。方法:选取2012年5月至2015年4月我院收治的糖尿病肾病Ⅳ期患者113例,按照进入透析时间分为延缓组、非延缓组,其中非延缓组初次透析前肾小球淲过率(GFR)≥6 m L/min,延缓组初次透析前GFR<6 m L/min,对照两组临床资料,深入探究延缓Ⅳ期糖尿病肾病患者进入透析的影响因素。结果:Ⅳ期糖尿病肾病患者延缓进入透析期与性别、年龄、婚姻状况、血压无相关性(P>0.05),但与家庭收入、透析前6个月内肾内就诊史、呼吸道感染、规律随诊或遵医嘱及血肌酐(SCr)、血钾(K+)、血红蛋白(Hb)水平密切相关(P<0.05)。结论:延缓Ⅳ期糖尿病肾病患者进入透析的相关因素众多,应加大宣传力度,促使患者得到及早救助,适时行透析治疗。
Objective: To investigate the factors that delay dialysis in patients with stage Ⅳ diabetic nephropathy. Methods: One hundred and thirteen patients with stage Ⅳ of diabetic nephropathy admitted to our hospital from May 2012 to April 2015 were divided into delayed group and non-delayed group according to the time of dialysis. Among them, the rate of glomerular glomeruli before initial dialysis in non-delayed group (GFR) ≥6 m L / min, and GFR <6 m L / min in the delayed group before dialysis. The clinical data of two groups were compared to explore the influencing factors of delayed dialysis in patients with stage Ⅳ diabetic nephropathy. Results: The patients with stage Ⅳ diabetic nephropathy had no correlation with gender, age, marital status and blood pressure (P> 0.05), but had no correlation with family income, history of renal access within 6 months before dialysis, respiratory tract infection, regularity Clinic or doctor’s orders and serum creatinine (SCr), serum potassium (K +), hemoglobin (Hb) levels are closely related (P <0.05). Conclusion: Delayed Ⅳ stage diabetic nephropathy patients into dialysis related factors are numerous, should step up publicity efforts to promote early rescue of patients, timely dialysis treatment.