摘要
目的:分析慢性肾功能衰竭血液透析患者透析充分性及其影响因素,为临床制订提高血液透析效果的措施提供依据。方法:纳入平度市人民医院2019年10月—2021年10月治疗的慢性肾功能衰竭患者132例,均进行血液透析治疗。统计血液透析效果;自制一般资料调查表,调查患者一般资料,包括基本病因、透析龄、人体脂肪率等;找出慢性肾功能衰竭血液透析患者透析充分性的影响因素。结果:透析不充分占比为25.76%(34/132);单因素分析显示,透析不充分组与透析充分组年龄、透析期间发生低血压、透析器凝血、血清白蛋白水平比较,差异均有统计学意义(P<0.05);多因素分析显示,慢性肾功能衰竭血液透析患者透析充分性的危险因素为年龄>60岁、透析期间发生低血压、透析器凝血,保护因素为血清白蛋白(P<0.05)。结论:年龄、透析期间发生低血压、透析器凝血、血清白蛋白水平是慢性肾功能衰竭血液透析患者透析充分性的影响因素,临床可根据上述因素制订措施,以提高透析效果,帮助患者达到充分透析。
Objective:To analyze the dialysis adequacy and its influencing factors in hemodialysis patients with chronic renal failure,and provide the basis for clinical formulation of measures to improve the effect of hemodialysis.Method:A total of 132 patients with chronic renal failure treated in Pingdu People's Hospital from October 2019 to October 2021 were included and treated with hemodialysis.Hemodialysis effect were counted.Selfmade general data questionnaire was used to investigate the general information of patients,including basic etiology,dialysis age,body fat rate,etc.The influencing factors of dialysis adequacy in hemodialysis patients with chronic renal failure were find out.Result:The proportion of inadequate dialysis was 25.76%(34/132).Univariate analysis showed that there were significant differences in age,hypotension occurs during dialysis,dialyzer coagulation and serum albumin level between the inadequate dialysis group and the adequate dialysis group(P<0.05).Multivariate analysis showed that the risk factors for dialysis adequacy in patients with chronic renal failure were age>60 years old,hypotension occurs during dialysis,dialyzer coagulation and the protective factor was serum albumin(P<0.05).Conclusion:Age,hypotension occurs during dialysis,dialyzer coagulation and serum albumin level are the influencing factors of dialysis adequacy in patients with chronic renal failure.Clinical measures can be formulated according to the above factors to improve the dialysis effect and help patients achieve adequate dialysis.
作者
张娟
刘也平
杨进川
ZHANG Juan;LIU Yeping;YANG Jinchua(Pingdu People's Hospital,Shandong Province,Pingdu 266700,China;不详)
出处
《中国医学创新》
CAS
2023年第25期156-160,共5页
Medical Innovation of China
