单室尿素清除率不达标的Logistic回归模型初探  

A preliminary study on Logistic regression model for the non-reaching standard of single-compartment urea clearance rate

作　　者：王蔚琼[1] WANG Weiqiong(the Hemodialysis Center,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院血液透析中心,上海200032

出　　处：《上海医药》2018年第23期70-73,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:了解维持性血液透析患者单室尿素清除率达标与否与患者的年龄、性别、透析龄、实验室指标、人体学资料等因素的关系,为评估血液透析患者的单室尿素清除率并采取相应的预防措施提供依据。方法:采用随机抽样方法,对我院90名维持性血液透析患者的资料进行回顾性分析,并利用二分类Logistic回归进行危险因素分析。结果:筛选出体细胞质量和细胞内水分等因素是维持性血液透析患者单室尿素清除率不达标的危险因素。结论:根据危险因素分析结果,对维持性血液透析患者重点监测人群采取有效地干预措施以提高透析充分性。Objective:To understand the relationship between the achievement of single-compartment urea clearance rate(spKt/V)whether or not the standard is reached in maintenance hemodialysis(MHD)patients with such factors as age,gender,dialysis duration,laboratory indicators and anthropological data so as to provide basis for evaluating spKt/V in the patients with MHD and taking corresponding preventive measures.Methods:The data from 90 patients with MHD in our hospital were retrospectively analyzed by random sampling and the risk factors were also analyzed by binary logistic regression.Results:Factors such as somatic cell quality and intracellular overhydration were identified as risk factors for substandard spKt/V in MHD patients.Conclusion:The effective intervention measures should be taken to improve the dialysis adequacy in the key monitoring population with MHD based on the results of risk factor analysis.

关 键 词：单室尿素清除率 维持性血液透析 回归模型 

分 类 号：R459.5[医药卫生—治疗学] R692.5[医药卫生—临床医学]