【摘要】 目的 分析尿毒症期病人动静脉内瘘初期成熟影响因素,找出主要相关因素。方法 研究188例行内瘘手术慢性肾功能不全(尿毒症期)病人的性别、年龄、原发病、术前血ALB、Hb、BUN、Scr、TG、T-CHO、术后是否应用抗凝治疗与内瘘初期成熟是否相关。结果 172例病人内瘘成熟,16例失败。Logistic回归显示血压低于100/60mmHg的病人与内瘘初期成熟成负相关(P<0.001);术后应用抗凝治疗与内瘘初期成熟成正相关(P<0.02)。结论 血压低于100/60mmHg的病人内瘘初期成熟机率低,术后应用抗凝治疗可减少内瘘阻塞的发生机率。更多还原

【Abstract】 Objective: To analyse the possible factors associated with arterivenous fistulas operation success in uremic patients. Methods: 188 uremic patients were studied with their ages, sex, serum BUN, Scr, ALB, TG, Hb, T - CHO, blood pressure before operation and if anticoagulant drugs were used after operation . These factors were analysed and the possible factors which relation with the success of the operation were found. Results: 16 uremic patients operations were failure, 172 patients were success. Multivariance analysis (logistic regression) shows blood pressure(≤100/60mmHg)have negative relation with arteriovenous operation success and anticoagulantion have positive relation with arteriovenous operation success. Conclusions: Uremic patients with BP(≤,100/60mmHg) have higher opportunity of arteriovenous fistulas operation failure and using anticoagulant drugs can decrease the opportunity of arteriovenous fistulas failure.更多还原