老年透析患者衰弱指数与透析指标的相关性分析  

Correlation Analysis Between Asthenia Index and Dialysis Index in Elderly Patients With Dialysis

作　　者：张宇红 王端端 黄雅清 钟鸿斌 ZHANG Yuhong;WANG Duanduan;HUANG Yaqing;ZHONG Hongbin(Department of Nephrology,Xiamen Fifth Hospital,Xiamen Fujian 361101,China;Department of Cardiothoracic Surgery,Xiamen Fifth Hospital,Xiamen Fujian 361101,China)

机构地区：[1]厦门市第五医院肾脏内科,福建厦门361101 [2]厦门市第五医院胸心外科,福建厦门361101

出　　处：《中国卫生标准管理》2022年第20期108-112,共5页China Health Standard Management

摘　　要：目的 探讨老年透析患者衰弱指数与透析指标的关系。方法 选取2021年1月1日—12月31日,在福建省厦门市第五医院肾脏内科进行维持性血液透析的肾脏病患者61例作为研究对象,剔除1例合并恶性肿瘤,根据衰弱指数划分为衰弱组及对照组,其中衰弱组29例(0.25≤衰弱指数<1),对照组31例(0 <衰弱指数<0.25)。采用回顾性分析方法比较两组患者临床资料,分析和总结老年透析患者发生衰弱与透析指标的关系。结果 单因素分析结果显示,老年透析患者的年龄、身体质量指数(body mass index,BMI)、白蛋白(albumin,Alb)、铁蛋白(serum ferritin,SF)、冠心病(acute coronary disease,ACD)均为衰弱发生的影响因素(P <0.05)。Logistic回归分析结果显示,高龄、冠心病是老年血液透析患者发生衰弱的危险因素。结论 高龄、冠心病均是老年血液透析患者发生衰弱的危险因素,可针对危险因素进行预防,延缓和降低老年人衰弱的发生。Objective To explore the relationship between asthenia index and dialysis index in elderly patients with dialysis.Methods A total of 61 renal disease patients on maintenance hemodialysis in department of nephrology,Xiamen Fifth Hospital from January 1 to December 31,2021 were selected as the research objects.One patient with malignant tumor was excluded and divided into the asthenia group and the control group according to the asthenia index,including 29 cases in the asthenia group(0.25 ≤ asthenia index < 1) and 31 cases in the control group(0 < asthenia index <0.25).Retrospective analysis was used to compare the clinical data of the two groups,and to analyze and summarize the relationship between the weakness of elderly dialysis patients and dialysis indicators.Results Univariate analysis showed that age,body mass index(BMI),albumin(Alb),serum ferritin and coronary heart disease were the influencing factors of debility in elderly dialysis patients(P < 0.05).Logistic regression analysis showed that old age and coronary heart disease were the risk factors for debility in elderly hemodialysis patients.Conclusion Old age and coronary heart disease are the risk factors for the elderly hemodialysis patients to develop weakness,and prevention can be carried out according to the risk factors to delay and reduce the occurrence of weakness in the elderly.

关 键 词：血液透析 衰弱指数 透析指标 老年患者 高龄 冠心病 失能 

分 类 号：R459[医药卫生—治疗学]