单中心动静脉内瘘的生存分析及益气活血中药的影响探讨中医内科学专业论文.docxVIP

研究生优秀毕业论文 E Surv Surv i va I Ana l ys i S on Arter i ovenous F i stu I as from S i ng l e Center：Exp l or i ng the potent i a I of Y i—O i—Huo—Xue Ch i nese HerbaI SpeciaI ity：Chinese InternaI Medicine Author： Yunyun Fan Tutor：Professor 0izhan Lin AbstraGt Objective The present study aimed to clarify the survival situation of internal arteriovenous fistulas built and used in Guangdong Provincial Hospital of Chinese Medicine， and search the factors affect ing the survival of arteriovenous internal fi stula． Methods This study is a retrospective study．All information was obtained from medical record system of Guangdong Provincial Hospital of Chinese Medicine．Factors that might affect the survival of AVF were recorded， including the general characteristics，conditions and complications of AVF，catheter usage，dialysis and drug treatment，etc．We establish the database by EXCEL，and analyse them by SPSS 17．0．Survival analysi s was performed by Kaplan—Meier and COX multivariate regression analysis． ReSUlts This study included 104 patients，aged 15。85 years old，the average age(59．03± 15．37)， 58 cases of male(56％)，46 cases of female (44％)．Survival analysis was performed by Kaplan—Meier and COX multivariate regression analysis，The median survival time of 104 AVFs was 39．633±8．477months．Hypertension as primary di sease was concluded benificial factor，age was risk factor．All the factors were brought into competing risk model． Age was concluded as risk factor，peripheral HI vascular vascular disease and EPO were beneficial factors． ConeIUSion 1．The AVFs of the elderly become dysfunctional easier because of poor vascular condition． 2．The influence of hypertension、diabetes 、Peripheral vascular disease、 Chinese medicine of Supplementing Oi and activating blood circulation to AVFs needed further exploring． Key words：arteriovenous fistula failure：Traditional Chinese medicine of Supplementing Qi and activating blood circulation： survival analysiS： I