皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2013年
5期
382-384
,共3页
童昌军%谈雅吟%高峰%张卫东
童昌軍%談雅吟%高峰%張衛東
동창군%담아음%고봉%장위동
血液透析%内瘘%体质量增幅
血液透析%內瘺%體質量增幅
혈액투석%내루%체질량증폭
hemodialysis%AVF%weight gain
目的：旨在研究自体动静脉内瘘失功的影响因素，并进一步分析找出导致内瘘失功的主要影响因素，为临床医师早期有效的预防内瘘失功提供参考依据。方法：选择2005年1月～2012年6月在我院首次行自体动静脉内瘘术并长期在我院行维持性血液透析的153例次内瘘手术患者，男76例次，女77例次；患者平均年龄（54±18）岁。我们对患者原发病、血脂水平、血红蛋白水平、血小板计数、钙磷乘积以及间期体质量增长等六项指标进行量化后使用Logistic回归分析。结果：共37例次发生内瘘失功，患者的透析间期体质量增长幅度是其主要影响因素。结论：患者过高的间期体质量增幅、糖尿病为原发病、高水平的LDL、血红蛋白的异常和钙磷乘积的过高都是影响内瘘功能状况的重要因素，维持性血液透析患者应避免高危因素的存在，早期预防危险因素的发生，从而减少内瘘失功的情况发生。
目的：旨在研究自體動靜脈內瘺失功的影響因素，併進一步分析找齣導緻內瘺失功的主要影響因素，為臨床醫師早期有效的預防內瘺失功提供參攷依據。方法：選擇2005年1月～2012年6月在我院首次行自體動靜脈內瘺術併長期在我院行維持性血液透析的153例次內瘺手術患者，男76例次，女77例次；患者平均年齡（54±18）歲。我們對患者原髮病、血脂水平、血紅蛋白水平、血小闆計數、鈣燐乘積以及間期體質量增長等六項指標進行量化後使用Logistic迴歸分析。結果：共37例次髮生內瘺失功，患者的透析間期體質量增長幅度是其主要影響因素。結論：患者過高的間期體質量增幅、糖尿病為原髮病、高水平的LDL、血紅蛋白的異常和鈣燐乘積的過高都是影響內瘺功能狀況的重要因素，維持性血液透析患者應避免高危因素的存在，早期預防危險因素的髮生，從而減少內瘺失功的情況髮生。
목적：지재연구자체동정맥내루실공적영향인소，병진일보분석조출도치내루실공적주요영향인소，위림상의사조기유효적예방내루실공제공삼고의거。방법：선택2005년1월～2012년6월재아원수차행자체동정맥내루술병장기재아원행유지성혈액투석적153례차내루수술환자，남76례차，녀77례차；환자평균년령（54±18）세。아문대환자원발병、혈지수평、혈홍단백수평、혈소판계수、개린승적이급간기체질량증장등륙항지표진행양화후사용Logistic회귀분석。결과：공37례차발생내루실공，환자적투석간기체질량증장폭도시기주요영향인소。결론：환자과고적간기체질량증폭、당뇨병위원발병、고수평적LDL、혈홍단백적이상화개린승적적과고도시영향내루공능상황적중요인소，유지성혈액투석환자응피면고위인소적존재，조기예방위험인소적발생，종이감소내루실공적정황발생。
Objective:To identify the potential influencing factors associ-ated with arteriovenous fistula ( AVF ) dysfunction in patients undergoing maintenance hemodialysis for early intervention of the failure .Methods:Included were 153 patients undergone maintenance hemodialysis ( MHD) by use of vascular access via initial creation of native upper arm AVF in our hospital between Jan.2005 and Jun.2012.Of the total subjects,76 were males and 77 females with an average age of 54 ±18 years.The baselines were measured and assessed with multivariate logistic regression analysis regarding the primary diseases, serum lipid levels, hemoglobin levels,blood platelet count,calcium-phosphorus product and weight gains at regular hemodialysis intervals.Results:Dysfunctional AVFs occurred in 37 patients,and the major influencing factors were associated with exces-sive weight gain between dialysis .Conclusion:The findings suggest that the risk factors for vascular access failure in dialysis are involved in exces-sive weight gain between dialysis,diabetes as primary condition,higher LDL level, abnormally elevated hemoglobin content and increased calci-um-phosphorus products,which indicates that attention should be paid to the occurrence of risk factors that require early intervention to prevent the dysfunction of AVF for patients in maintenance haemodialysis .
