摘要
目的 探讨影响血液透析患者自体动静脉内瘘早期血栓形成的危险因素为临床干预提供参考依据.方法 观察慢性血液透析患者104例,在首次使用自体动静脉内瘘后3个月内是否发生血栓形成.对患者年龄、性别、基础疾病是否为糖尿病、平均血压水平、发生血栓时单次超滤量、发生血栓时的血肌酐、尿酸、尿素、血白蛋白、血红蛋白、血小板、甲状旁腺素等指标量化后行多因素非条件logistic回归分析.结果 21例（20.1％）患者在血液透析后3个月内出现动静脉内瘘血栓形成,基础疾病为糖尿病、血肌酐、甲状旁腺素水平、血红蛋白为发生血栓形成的危险因素.血压、尿酸是动静脉内瘘形成的保护因素.结论 本研究进一步揭示基础疾病为糖尿病、血红蛋白、血液透析不充分、甲状旁腺激素异常升高为血液透析患者早期形成动静脉内瘘血栓的危险因素.
Objectives The aim of this study is to discover the risk factors predicting early thrombosis and use of autogenous arteriovenous fistulae for hemodialysis.Methods January 2011 to December 2012,104 patients undergoing first time AVF creation were enrolled in our retrospective study.We analyzed age,sex,based diseases,blood pressure,ultra-filtration volume,urea,creatinine,uric acid,blood albumin,hemoglobin,platelet,such as parathyroid hormonewith Multi-factor Unconditioned Logistic Analysis.Results 21 patients （20.1％） developed thrombus in three months after first blood dialysis.basic diseases as diabetes,creatinine,parathyroid hormone,hemoglobin as risk factors.The protecting factors include blood pressure,uric acid for patient of thrombosis.Conclusions Early thrombosis of AVF occurs mainly among diabetic patients,hemoglobin,inadequate hemodialysis,high parathyroid hormone.
出处
《国际泌尿系统杂志》
2013年第5期648-650,共3页
International Journal of Urology and Nephrology
关键词
肾透析
动静脉内瘘
血栓形成
危险因素
Renal Dialysis
Arteriovenous Fistula
Thrombosis
Risk Factors
