CAJ | 학술논문

目的探讨老年血液透析患者舒张性心力衰竭发病的相关因素。方法对我院2001年~2012年间长期维持性血液透析的90例老年患者分组进行回顾性研究，观察患者的血压控制情况、透析充分性、营养状况、以及血色素等方面。对其舒张性心衰的发病相关因素进行分析。结果在患有舒张性心力衰竭的患者中多数有血压控制未达标，部分有透析不充分、营养不良以及贫血等情况。结论老年维持性血液透析患者舒张性心力衰竭有着高发病率及死亡率，而这些都与患者的高血压、透析不充分、营养不良、贫血、体内水负荷过多有相关。所以控制这些因素，就能减少发病，提高患者生存率。
목적탐토노년혈액투석환자서장성심력쇠갈발병적상관인소。방법대아원2001년~2012년간장기유지성혈액투석적90례노년환자분조진행회고성연구，관찰환자적혈압공제정황、투석충분성、영양상황、이급혈색소등방면。대기서장성심쇠적발병상관인소진행분석。결과재환유서장성심력쇠갈적환자중다수유혈압공제미체표，부분유투석불충분、영양불량이급빈혈등정황。결론노년유지성혈액투석환자서장성심력쇠갈유착고발병솔급사망솔，이저사도여환자적고혈압、투석불충분、영양불량、빈혈、체내수부하과다유상관。소이공제저사인소，취능감소발병，제고환자생존솔。
Objective To discuss the related factors of diastolic heart failure in elderly patients with maintenance hemodialysis. Methods In our hospital from 2001 to 2012,90 elderly patients with the long-term maintenance hemodialysis were studied retrospectively, observation of blood pressure control, dialysis adequacy, nutritional status,and hemoglobin. To analyze the risk factors of diastolic heart failure. Results In those diastolic heart failure patients ,the majority of blood pressure control is not required, some have inadequate dialysis、malnutrition and anemia etc. Conclusion The elderly maintenance hemodialysis patients with diastolic heart failure has a high morbidity and mortality and these are associated with hypertension、inadequate dialysis malnutrition、anemia、the body of water in the overload. So the control of these factors can reduce the incidence,raise the survival rate of the patients.