血液透析患者动静脉内瘘栓塞的危险因素分析  

Analysis of Risk Factors for Arteriovenous Fistula Embolism in Hemodialysis Patients

作　　者：吴腊梅[1] 王丽平[1] WU Lamei;WANG Liping(Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330000,China;不详)

机构地区：[1]南昌市洪都中医院,江西南昌330000

出　　处：《中国医学创新》2023年第1期111-114,共4页Medical Innovation of China

摘　　要：目的:探讨血液透析(HD)患者动静脉内瘘(AVF)栓塞的危险因素。方法:回顾性分析2019年3月-2021年7月在南昌市洪都中医院行HD治疗的84例患者临床资料。分析HD患者AVF栓塞的危险因素。结果:HD患者AVF栓塞发生率为19.05%(16/84);单因素分析显示体重指数、高脂血症、糖尿病史、吸烟史、钙磷乘积、HD后压迫时间、低血压与HD患者发生AVF栓塞有关,差异均有统计学意义(P<0.05);年龄、性别、血红蛋白、内瘘使用时间、内瘘感染与HD患者发生AVF栓塞无关,差异均无统计学意义(P>0.05);多因素分析显示高脂血症[β=1.276,OR=3.581,95%CI(1.049,12.227)、糖尿病史[β=2.391,OR=10.926,95%CI(3.189,37.432)]、吸烟史[β=1.769,OR=5.865,95%CI(1.237,27.814)]、钙磷乘积≥60 mg^(2)/dL^(2)[β=2.414,OR=11.175,95%CI(2.861,43.653)]、血透后压迫时间≥30 min[β=1.514,OR=4.543,95%CI(1.450,14.233)]、低血压[β=1.594,OR=4.924,95%CI(1.520,15.955)]是HD患者发生AVF栓塞的高危因素(P<0.05)。结论:HD患者发生AVF栓塞与高脂血症、糖尿病史、吸烟史、钙磷乘积、HD后压迫时间、低血压有关。Objective:To investigate the risk factors of arteriovenous fistula(AVF)embolism in hemodialysis(HD)patients.Method:The clinical data of 84 patients who underwent HD treatment in Nanchang Hongdu Hospital of Traditional Chinese Medicine from March 2019 to July 2021 were retrospectively analyzed.The risk factors of AVF embolism in HD patients were analyzed.Result:The incidence of AVF embolism in HD patients was 19.05%(16/84).Univariate analysis showed that body mass index,hyperlipidemia,history of diabetes,smoking history,calcium and phosphorus product,compression time after hemodialysis,hypotension and HD patients AVF embolism was related to the occurrence of AVF embolism,the differences were statistically significant(P<0.05);age,gender,hemoglobin,internal fistula use time,internal fistula infection were not associated with AVF embolism in HD patients,and the differences were not statistically significant(P>0.05).Multivariate analysis showed hyperlipidemia[β=1.276,OR=3.581,95%CI(1.049,12.227),history of diabetes[β=2.391,OR=10.926,95%CI(3.189,37.432)],history of smoking[β=1.769,OR=5.865,95%CI(1.237,27.814)],calciumphosphorus product≥60 mg^(2)/dL^(2)[β=2.414,OR=11.175,95%CI(2.861,43.653)],compression time after HD≥30 min[β=1.514,OR=4.543,95%CI(1.450,14.233)]and hypotension[β=1.594,OR=4.924,95%CI(1.520,15.955)]were risk factors for AVF embolism in HD patients(P<0.05).Conclusion:AVF embolism in HD patients is related to hyperlipidemia,history of diabetes,smoking history,calcium and phosphorus product,compression time after HD and hypotension.

关 键 词：动静脉内瘘 栓塞 糖尿病 血液透析 

分 类 号：R473.5[医药卫生—护理学]