血液透析患者跌倒发生与主动脉钙化的关系  

Relationship between fall and aortic calcification of hemodialysis patients

作　　者：沈江山[1] 周阳[1] 尹金凤[1] 

机构地区：[1]南昌大学第四附属医院肾内科,江西南昌330003

出　　处：《中国当代医药》2017年第28期76-78,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划课题(20175304)

摘　　要：目的探讨血液透析患者跌倒发生与主动脉钙化的关系。方法选取我院2016年1月~2017年1月血液净化中心规律行维持性血液透析的80例患者作为研究对象,依据主动脉钙化发生情况分为主动脉钙化组(n=17)和主动脉未钙化组(n=63),详细记录两组的性别、年龄、透析龄、原发病等一般资料,对其跌倒发生情况进行观察,并对其原因进行分析,对其后果进行观察,然后对两组的跌倒发生情况进行统计分析。结果主动脉钙化组的跌倒发生率为88.2%(15/17),显著高于主动脉未钙化组的22.2%(14/63)(P<0.05),其中跌倒发生的主要原因为低血压、心律失常、运动耐力下降,发生时间主要在透析后,后果主要为皮肤挫裂伤。结论血液透析患者跌倒发生与主动脉钙化显著相关,临床应该积极采取有针对性的措施,将血液透析患者的跌倒发生率降低到最低限度。Objective To investigate the relationship between fall and aortic calcification of hemodialysis patients. Methods 80 cases of hemodialysis patients in blood purification center of our hospital from January 2016 to January 2017 were selected as research objects,these patients were divided into the aortic calcification group （n=17） and the non-aortic calcification group （n=63） according to aortic calcification occurred.The data of the two groups were record- ed,such as sexes,ages,ages of dialysis,primary diseases and so on.The occurrences of falls was observed,the causes were analyzed,and the results were observed,then the incidences of falls of the two groups was statistically analyzed.Results The incidence of fall of the aortic calcification group was 88.2% （15/17）,which was significantly higher than 22.2% （14/ 63） of the non aortic calcification group （P〈0.05）,the main reasons of the fall occurred were hypotension,arrhythmia,de- creased exercise tolerance,occurs mainly in the time after dialysis,the consequences was skin contusion.Concluslon The incidence of falls of hemodialysis patients is significantly related to aortic calcification,the clinical measures should take targeted measures to reduce the incidence of falls of hemodialysis patients to the minimum.

关 键 词：血液透析 跌倒 主动脉钙化 

分 类 号：R459.5[医药卫生—治疗学]