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目的探讨维持性血液透析患者住院的相关因素。方法对我院82例维持性血液透析患者进行回顾性分析,对住院和非住院的维持性血透患者的血清白蛋白、血红蛋白、血肌酐、血尿素氮等生化指标和平均动脉压、透析时间、每日残余尿量、促红素用量及降压药物的使用等临床指标进行比较;利用单因素分析探讨维持性血液透析患者住院的危险因素。结果两组患者间年龄、性别、透析时间、每日残余尿量、血肌酐、血尿素氮水平、促红素用量及降压药物的使用方面均无统计学差异;血清白蛋白、血红蛋白、平均动脉压在两组之间存在有显著统计学差异(P<0.01)。单因素分析结果显示,低血清白蛋白、低血红蛋白、血压控制不良与维持性血液透析患者住院有关(P<0.001)。结论低血清白蛋白、贫血、血压控制不良为维持性血液透析患者住院的危险因素。
Objective To investigate the related factors of hospitalization in maintenance hemodialysis patients. Methods Retrospective analysis was performed on 82 patients with maintenance hemodialysis in our hospital. The biochemical parameters, such as serum albumin, hemoglobin, serum creatinine, blood urea nitrogen, and mean arterial blood pressure, dialysis time , Daily residual urine volume, the amount of erythropoiesis and the use of antihypertensive drugs and other clinical indicators were compared; single factor analysis of maintenance hemodialysis patients hospitalized risk factors. Results There was no significant difference in age, sex, dialysis time, daily residual urine volume, serum creatinine, blood urea nitrogen level, erythropoietin dosage and the use of antihypertensive drugs between two groups. Serum albumin, hemoglobin, mean Arterial pressure in the two groups there is a statistically significant difference (P <0.01). Univariate analysis showed that low serum albumin, low hemoglobin, poor blood pressure control were associated with hospitalization for maintenance hemodialysis patients (P <0.001). Conclusion Low serum albumin, anemia and poor blood pressure control are the risk factors of hospitalization for maintenance hemodialysis patients.