【摘要】 目的探讨维持性血液透析患者高血压控制不良相关因素。方法对在安徽省立医院血透室进行血液透析的58例患者进行研究,血压控制良好组28例,血压控制不理想组30例,观察两组患者的KT/V、透析间期体重增长、HDF治疗等。采用单因素分析与多因素Logistic回归分析方法,分析维持性血透患者高血压控制不良的相关因素。结果单因素分析结果显示:未定期做HDF治疗、服用降压药物<3种、透析不充分(KT/V<1.2)、透析间期体重增加≥3 kg等与患者血压控制不良有关;多因素Logistic回归分析显示:未定期做HDF、透析不充分(KT/V<1.2)、透析间期体重增加≥3kg是维持性血透患者血压控制不良的独立危险因素。结论透析间期体重增长过多、透析不充分、未能定期行HDF治疗是维持性血透患者高血压控制不良的独立危险因素。更多还原

【Abstract】 Aim To explore the risk factors associated with poorly-controlled hypertension in maintenance hemodialysis(MHD)patients.Methods 58 maintenance hemodialysis cases were divided into well-controlled group(23 cases)and poorly-controlled group(25 cases)based on their blood pressure level.Singer-variable analysis and multi-variable analysis were used to analyse the risk factors of poorly-controlled blood pressure in MHD patients.Results Singer-variable analysis showed that weight increment larger than 3 kg during interdialysis period,not receiving HDF,KT/V value less than 1.2,and the types of anti-hypertension drug less than 3 were associated with poorly-controlled hypertension.Multi-variable analysis showed that weight increment larger than 3 kg during interdialysis period,not receiving HDF,KT/V value less than 1.2 were associated with poorly-controlled blood pressure.Conclusion Weight gain too much during the interdialysis period,not receiving HDF,inadequate hemodialysis,and irregular measurement of blood pressure are independent risk factors of poorly-controlled blood pressure in MHD patients.更多还原