维持性血液透析患者动静脉内瘘失功的临床分析  

Clinical analysis on status of arterivenous fistula dysfunction in hemodialysis patients

作　　者：梁伟[1] 张海燕[2] 邵进[1] 罗琼[1] 熊祖应[1] 游励红[1] 

机构地区：[1]北京大学深圳医院肾内科,广东深圳518036 [2]深圳市福田区人民医院肾内科,广东深圳518033

出　　处：《热带医学杂志》2011年第6期679-680,692,共3页Journal of Tropical Medicine

基　　金：深圳市科技计划项目(201003072)

摘　　要：目的分析血透中心血液透析患者动静脉内瘘失功情况及其影响因素。方法回顾性分析本院2009年1月至2010年12月期间252例血液透析患者的内瘘失功情况,并分析内瘘失功与年龄、血红蛋白、超滤量、透析龄和透析间期血压的关系。结果 252例患者中有38例,共发生53次内瘘失功,内瘘失功率为20.9%。内瘘失功组与非失功组患者在年龄、血红蛋白浓度、透析间期血压等方面差异无统计学意义(P>0.05),而内瘘失功组单次超滤量高于非失功组,透析龄大于非失功组,差异均有统计学意义(P<0.05)。结论单次超滤量过大及透析龄长是导致内瘘失功的主要原因。Objective To analyze the status of arterioveneous fistula dysfunction in hemodialysis patients and its impact factor. Methods The status of arteriovenous fistula dysfunction in 252 patients with HD was observed in the period from January,2009 to December,2010.The relationship between age,hemoglobin,uhrafiltration volume,dialysis age and interdialytic blood pressure were analyzed. Result Among 252 patients, 38 people occurred fistula dysfunction for 53 times, with a fistula dysfunction rate of 20.9%.There was no difference in age, hemoglobin and interdialytic blood pressure between fistula dysfunction group and non-fistula dysfunction group.As compared with the non-fistula dysfunction group,the ultrafiltration volume was larger and dialysis age were longer in the fistula dysfunction group （P〈0.05）. Conclusion The major factors of arteriovenous fistula dysfunction are high ultrafihration volume and dialysis age.

关 键 词：动静脉内瘘 失功 血液透析 

分 类 号：R586[医药卫生—内分泌]