维持性血液透析患者住院的相关因素分析.pdfVIP

40 Journa l of Clinica l and E p erim enta lM ed icine Vol. 6, N o. 6 June. 2007 祝胜郎 常巨平[ 广东医学院附属深圳南山医院(深圳市第六人民医院) 肾内科 广东 深圳 518052] 探讨维持性血 透析患者住院的相关因素 对我院 82例维持性血 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 透析患者住院 的危险因素 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 透析患者住院有关 ( P 0. 001) 低 血清白蛋白贫血血压控制不良为维持性血 透析患者住院的危险因素 维持性血 透析 住院 危险因素 Factors associated w ith ho sp ita lizaion in m ain tenan ce hem od ia ly sis pa tien ts. ZH U Sh eng - lang, CHAN G Ju -p ing. Dep artm ent of N ephrolo gy, Shenzh en No. 6H osp ita l, Shenzhen Guangdong 5 18052, Ch ina. Ab stract O bjective T o invest igate risk factors for hosp ita izaion in m ain tenance hem od ia y sis pat ien ts. M ethod s T h e c in ica and b ioch em i ca features of 82 ma intenan ce hem od ia ys is inpatients and ou tpat ien ts w ere compared. R isk factors for hosp ita izat ion w ere ana y sed w ith sing e- variab e ana y s is. R esu lts T here w ere no sign ifican t d ifferences in age, gend er distribu tion, durat ion of d ia y sis, residu a u rine vo um e, b ood ev e of u rea n itrogrn ( BU N) and serum creat in ine ( Scr) , dose of eryth ropoiet in and an tihypoten sive drugs b etw een inpat ien ts and outpatients. Serum a bum in and hem og ob in eve w ere s ign ifican t y ow er in inpat ien ts th an in outpatients; M ean arteria pressu re( MA P) w as s ign if ican t y h igher in in patients than in ou tpat ien ts. S ing e variab e ana ys is show ed that ow serum a bum in, anaem ia and poor y - con tro ed hypertens ion w ere associated w ith hosp ita ization in m ain ten ance hem od ia ys is pat ien ts. Con clu sion Low serum a bum in, anaem ia and poor y - con tro ed hypertens ion are risk factors for hosp it