维持性血液透析患者发生缺血性心脏病的影响因素分析  

Influencing factors of developing ischemic heart disease in maintenance hemodialysis patients

作　　者：伍圣杰[1] 李建飞[1] WU Sheng-jie;LI Jian-fei(Department of Nephrology,Liuzhou People′s Hospital,Liuzhou 545006,China)

机构地区：[1]广西柳州市人民医院肾脏病内科,柳州市545006

出　　处：《广西医学》2021年第7期811-814,共4页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z20180324)。

摘　　要：目的探讨维持性血液透析患者发生缺血性心脏病的影响因素。方法回顾性分析162例维持性血液透析患者的临床资料。采用Logistic回归模型分析维持性血液透析患者发生缺血性心脏病的影响因素。结果162例患者中,有77例发生缺血性心脏病。多因素Logistic回归分析结果显示,年龄、高血压及超敏C反应蛋白、甲状旁腺激素水平是维持性血液透析患者合并缺血性心脏病的影响因素(均P<0.05)。结论年龄≥50岁、合并高血压、超敏C反应蛋白>10.0 mg/L、高甲状旁腺激素水平是维持性血液透析患者发生缺血性心脏病的危险因素。Objective To investigate the influencing factors of developing ischemic heart disease in patients on maintenance hemodialysis.Methods The clinical data of 162 patients with maintenance hemodialysis were analyzed retrospectively.The influencing factors of developing ischemic heart disease in maintenance hemodialysis patients were analyzed using the Logistic regression model.Results Among the 162 patients,77 had ischemic heart disease.Multivariate Logistic regression analysis results showed that age,hypertension,high-sensitivity C-reactive protein,and parathyroid hormone level were the influencing factors of concomitant ischemic heart disease in maintenance hemodialysis patients(all P<0.05).Conclusion Age≥50 years,concomitant hypertension,high-sensitivity C-reactive protein>10.0 mg/L,and increased parathyroid hormone level are the risk factors for developing ischemic heart disease in maintenance hemodialysis patients.

关 键 词：血液透析 缺血性心脏病 影响因素 年龄 高血压 超敏C反应蛋白 甲状旁腺激素 并发症 

分 类 号：R692.5[医药卫生—泌尿科学] R541[医药卫生—外科学]