维持性血液透析患者继发性甲状旁腺功能亢进相关因素分析及护理对策  

Analysis of associated factors of secondary hyperparathyroidism in patients with maintenance hemodialysis and its nursing countermeasures

作　　者：肖庆璇[1] 秦耀荣 胡洁萍[1] 魏婷[1] 

机构地区：[1]中山大学附属东华医院血透室,广东东莞523220

出　　处：《实用临床医药杂志》2014年第2期4-5,9,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨维持性血液透析患者继发性甲状旁腺功能亢进(SHPT)的相关危险因素及护理措施。方法分析本院2009年1月—2012年12月规律血液透析患者的临床资料,根据患者全段甲状旁腺激素(iPTH)分为甲状旁腺功能亢进组及非亢进组,采用Logistic分析甲状旁腺功能亢进的相关影响因素,同时给予必要的护理措施。结果共118例患者纳入研究,多因素Logistic回归分析结果显示,低钙、高磷、高血肌酐水平和低血红蛋白是甲状旁腺功能亢进的独立危险因素,给予患者必要的治疗和护理后,患者的病情可得到缓解。结论低钙、高磷、高血肌酐水平和低血红蛋白是维持性血液透析患者甲状旁腺功能亢进的独立危险因素,在治疗的过程中,需给予必要的护理。Objective To explore the associated factors of secondary hyperparathyroidism（SHPT）in hemodialysis patients and its nursing countermeasures.Methods The material of 118patients from January 2009 to December 2012 were analyzed and they were divided into hyperparathyroidism group and normal group according to the level of intact parathyroid hormone（iPTH）. Besides, Logistic regression analysis was applied to analyze the associated factors of SHPT and the patients were conducted some nursing measures. Results Logistic regression analysis demonstrated that hypocalcemia,hyperphosphatemia,high serum creatinine and low hemoglobin were independent risk factors of SHPT in 118 patients, and the disease status of patients could be alleviated if proper treatment and nursing were implemented. Conclusion Hypocalcemia,hyperphosphatemia,high serum creatinine and low hemoglobin were independent risk factors for SHPT patients to maintain hemodialysis. Therefore, proper nursing is indispensable during the treatment.

关 键 词：血液透析 甲状旁腺功能亢进 危险因素 

分 类 号：R473.5[医药卫生—护理学]