CAJ | 학술논문

目的分析维持性血液透析(maintenance hemodialysis,MHD)患者产生透析相关性高血压的影响因素,为有效治疗透析相关性高血压提供参考.方法回顾性的收集安徽省立医院血液透析中心MHD治疗的348例次患者的一般临床资料、透析相关参数(透析时间、脱水量、干体质量、透析期间体质量增长情况等)、相关实验室检查及辅助检查结果,依据透析相关性高血压标准将MHD患者分为血压正常组与血压非正常组,分别采用单因素分析和二分类Logistic多因素回归分析的方法探讨MHD患者产生透析相关性高血压的主要影响因素.结果患者的年龄、透析年限、透析前收缩压(systolic blood pressure,SBp)、体质量增长率是MHD患者产生透析相关性高血压的主要影响因素,且体质量增长率是首要影响因素.结论 MHD患者透析相关性高血压的发生与多种因素有关,合理控制透析相关性高血压的发生需要采取针对性措施.
목적 분석유지성혈액투석(maintenance hemodialysis,MHD)환자산생투석상관성고혈압적영향인소,위유효치료투석상관성고혈압제공삼고.방법 회고성적수집안휘성립의원혈액투석중심MHD치료적348례차환자적일반림상자료、투석상관삼수(투석시간、탈수량、간체질량、투석기간체질량증장정황등)、상관실험실검사급보조검사결과,의거투석상관성고혈압표준장MHD환자분위혈압정상조여혈압비정상조,분별채용단인소분석화이분류Logistic다인소회귀분석적방법탐토MHD환자산생투석상관성고혈압적주요영향인소.결과 환자적년령、투석년한、투석전수축압(systolic blood pressure,SBp)、체질량증장솔시MHD환자산생투석상관성고혈압적주요영향인소,차체질량증장솔시수요영향인소.결론 MHD환자투석상관성고혈압적발생여다충인소유관,합리공제투석상관성고혈압적발생수요채취침대성조시.
Objective To analyze the influencing factors of dialysis associated hypertension for the patients with maintenance hemodialysis (MHD) in order to provide a reference to treat dialysis associated hypertension reasonably.Methods The clinical data,parameters associated hypertension (dialysis duration,volume of dehydrated,dry weight,weight gain during dialysis,etc.),the results of related laboratory test and auxiliary examination of 348 case-times with MHD were collected retrospectively in the Hemodialysis Center of Anhui Provincial Hospital.348 case-times were divided into two groups,the normal and abnormal,in accordance with the standard of dialysis associated hypertension,both mono factor and Logistic multifactor analysis were performed to analyze the main influencing factors of dialysis associated hypertension.Results The age,dialysis duration,predialysis systolic blood pressure (SBp),weight gain during dialysis of patients were closely related with dialysis associated hypertension,and weight gain during dialysis was the top influencing factor for dialysis associated hypertension.Conclusions Dialysis associated hypertension is associated with a variety of factors,the aimed measures should be taken to control dialysis associated hypertension rationally.