湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
JOURNAL OF HUNAN NORMAL UNIVERSITY(MEDICAL SCIENCE)
2015年
2期
57-60
,共4页
维持性血液透析%住院%相关因素分析
維持性血液透析%住院%相關因素分析
유지성혈액투석%주원%상관인소분석
maintenance hemodialysis%hospitalization%correlation analysis
目的：探讨维持性血液透析(MHD)患者再住院的原因及相关因素分析。方法：选择我院血液净化中心接受 MHD 治疗的患者126例，其中反复住院者52例为实验组，未住院或住院≤1次/年患者74例为对照组。记录患者住院次数、住院原因、性别、年龄、透析龄、维持血透的血管通路、透析前血清电解质、尿素氮、肌酐、血红蛋白(Hb)、血清白蛋白(Alb)、C 反应蛋白和平均周 kt/v 等。结果：实验组中老年人，糖尿病肾病患者再住院率高，与对照组比较，差异有统计学意义，低白蛋白血症、贫血、高 C 反应蛋白、低平均周 kt/v 与患者再住院相关，血液透析的血管通路为导管者较血管通路为动静脉内瘘者住院率明显增加。结论：心脑血管疾病、感染、血管通路问题是维持性血透患者反复住院的主要原因，其低蛋白血症、贫血、高 C 反应蛋白、透析不充分是再住院的相关因素，以导管为血管通路增加了感染和住院的风险。
目的：探討維持性血液透析(MHD)患者再住院的原因及相關因素分析。方法：選擇我院血液淨化中心接受 MHD 治療的患者126例，其中反複住院者52例為實驗組，未住院或住院≤1次/年患者74例為對照組。記錄患者住院次數、住院原因、性彆、年齡、透析齡、維持血透的血管通路、透析前血清電解質、尿素氮、肌酐、血紅蛋白(Hb)、血清白蛋白(Alb)、C 反應蛋白和平均週 kt/v 等。結果：實驗組中老年人，糖尿病腎病患者再住院率高，與對照組比較，差異有統計學意義，低白蛋白血癥、貧血、高 C 反應蛋白、低平均週 kt/v 與患者再住院相關，血液透析的血管通路為導管者較血管通路為動靜脈內瘺者住院率明顯增加。結論：心腦血管疾病、感染、血管通路問題是維持性血透患者反複住院的主要原因，其低蛋白血癥、貧血、高 C 反應蛋白、透析不充分是再住院的相關因素，以導管為血管通路增加瞭感染和住院的風險。
목적：탐토유지성혈액투석(MHD)환자재주원적원인급상관인소분석。방법：선택아원혈액정화중심접수 MHD 치료적환자126례，기중반복주원자52례위실험조，미주원혹주원≤1차/년환자74례위대조조。기록환자주원차수、주원원인、성별、년령、투석령、유지혈투적혈관통로、투석전혈청전해질、뇨소담、기항、혈홍단백(Hb)、혈청백단백(Alb)、C 반응단백화평균주 kt/v 등。결과：실험조중노년인，당뇨병신병환자재주원솔고，여대조조비교，차이유통계학의의，저백단백혈증、빈혈、고 C 반응단백、저평균주 kt/v 여환자재주원상관，혈액투석적혈관통로위도관자교혈관통로위동정맥내루자주원솔명현증가。결론：심뇌혈관질병、감염、혈관통로문제시유지성혈투환자반복주원적주요원인，기저단백혈증、빈혈、고 C 반응단백、투석불충분시재주원적상관인소，이도관위혈관통로증가료감염화주원적풍험。
Objective To explore the cause of rehospitalization and its related factors in maintenance hemodialysis(MHD) patients. Methods A total of 126 MHD patients were enrolled in this study.52 cases of hemodialysis patients with rehospi-talization experiences were selected as the observation group,74 cases of non-hospitalized or 1 time hospitalized patients of the same period were selected as the control group.Number of MHD in hospital,Cause of hospitalitation,Gender.Age、dialy-sis time. vascular access problems. Serum electrolyte before dialysis, urea nitrogen, serum creatinine, hemoglobin (Hb), serum albumin (propagated), and the average weekly kt/v of the two groups were recorded.Results In the observation group,the old patients and diabetic nephropathy readmission rates were higher than the control group,the difference was statistically signifi-cant. Hypoalbuminemia,anemia,high c-reactive protein,the average weekly kt/v is associated with hospitalizations in patients, compared with arteriovenous fistula, hemodialysis vascular access for the catheter readmission rates increased significantly. Conclusion The main causes for rehospitalization in MHD patients are cardiovascular and cerebrovascular diseases,infection and stenosis of vascular access,hypoalbuminemia,anemia,high c-reactive protein,inadequate dialysis are correlated with rehos-pitalization of MHD patients.Catheter foa vascular access increased the risk of infection and hospitalization.
