CAJ | 학술논문

目的：探讨血液透析患者血栓形成的相关因素。方法纳入本院2012年1~12月血液透析3个月以上的患者151例，根据研究18个月内是否有血栓形成分为血栓组和无血栓组，记录相关临床资料，通过Logistic回归分析血栓形成的相关因素。结果单因素Logistic回归分析显示，高同型半胱氨酸血症与血管内血栓形成无相关性(P=0.132)，年龄、糖尿病、口服阿司匹林是血管内血栓形成的相关因素(P<0.05)。多因素Logistic回归分析显示，口服阿司匹林是血管内血栓形成的独立相关因素(P<0.05)。结论口服阿司匹林是血液透析患者血栓形成的相关因素，高同型半胱氨酸血症与血管内血栓形成无相关性。
목적：탐토혈액투석환자혈전형성적상관인소。방법납입본원2012년1~12월혈액투석3개월이상적환자151례，근거연구18개월내시부유혈전형성분위혈전조화무혈전조，기록상관림상자료，통과Logistic회귀분석혈전형성적상관인소。결과단인소Logistic회귀분석현시，고동형반광안산혈증여혈관내혈전형성무상관성(P=0.132)，년령、당뇨병、구복아사필림시혈관내혈전형성적상관인소(P<0.05)。다인소Logistic회귀분석현시，구복아사필림시혈관내혈전형성적독립상관인소(P<0.05)。결론구복아사필림시혈액투석환자혈전형성적상관인소，고동형반광안산혈증여혈관내혈전형성무상관성。
Objective To study the associate factors of thrombosis in patients with hemodialysis. Methods 151 patients with hemodialysis more than three months in our hospital from January to December 2012 were recruited in this study. All patients were divided into thrombosis group and non-thrombosis group according to whether the patient had throm-bosis during the 18 months,the clinical data were recorded and correlation of high homocysteine and other factors asso-ciated with thrombosis were analyzed through Logistic regression analysis. Results Single factor Logistic regression analysis showed,high homocysteine level with intravascular thrombosis had no relevance(P=0.132),age,diabetes,oral as-pirin were related factors of intravascular thrombosis (P<0.05).Multiariable Logistic regression analysis showed that oral aspirin was the independence of related factor of intravascular thrombosis (P<0.05). Conclusion Oral aspirin is relative factors of thrombosis in patients receiving hemodialysis.High homocysteine level with intravascular thrombosis has no relevance.