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维持性血液透析患者16例的致死因素分析

Analysis of risk factors for death in patients with hemodialysis

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【作者】 魏新平

【Author】 WEI Xin-ping;Department of Renal internal medicine,Shangqiu the First People’s Hospital;

【机构】 商丘市第一人民医院肾内科

【摘要】 目的对88例维持性血液透析患者中16例死亡患者的死因进行分析、探讨预防措施。方法检测血液透析患者临床指标、甲状腺旁腺激素,彩超测量颈动脉内膜-中层厚度,展开2年的跟踪随访。结果患者总死亡率18.18%,死亡组临床指标与CCA-IMT均显著高于存活组(P<0.05),KT/V、Alb与Ca显著低于存活组(P<0.05)。结论维持性血液透析患者hs-CRP、CCA-IMT、LDL与PTH等指标升高与KT/V下降是死亡危险因素。

【Abstract】 Objective To analyze the risk of mortality in hemodialysis patients factors. Methods Totally 88 cases of maintenance hemodialysis patients,during dialysis on patients with clinical index,parathyroid hormone( PTH) were detected,the intima-media thickness of carotid artery by color Doppler ultrasound( CCA-IMT) measured the thickness,launched a follow-up of 2 years. Results Hemodialysis patients with a mortality rate of 18. 18%,in death group P,LDL,Hs-CRP,PTH and CCA-IMT were significantly higher than those the survival group( P < 0. 05),KT / V,Alb and Ca were significantly lower than those the survival group( P < 0. 05). Conclusion Blood hs-CRP,CCA-IMT,LDL and PTH in dialysis patients were increased and KT / V decreased death risk factors.

【关键词】 血液透析死亡危险因素
【Key words】 HemodialysisDeathRisk factors
  • 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2015年03期
  • 【分类号】R459.5
  • 【下载频次】19
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