血红蛋白及红细胞分布宽度预测动静脉内瘘晚期血栓形成的研究

Hemoglobin and red cell distribution width for the prediction of late thrombosis of arteriovenous fistula

目的寻找廉价的、易于获得的能预测透析用动静脉内瘘晚期血栓形成的化验指标。方法回顾性研究30例动静脉内瘘晚期血栓形成患者的血红蛋白、红细胞分布宽度、血小板计数、甘油三酯、胆固醇;选择同一透析中心内瘘流量良好患者30例作为对照组,收集上述数据。比较两组间指标差异。结果晚期血栓形成者血红蛋白、红细胞分布宽度均明显高于对照组(P<0.05),而两组甘油三酯、胆固醇水平差异无统计学意义(P>0.05)。结论血红蛋白、红细胞分布宽度可作为预测动静脉内瘘晚期血栓形成的实验室指标。

Objective To probe relatively cheap and generally available laboratory test for predicting late thrombosis of arteriovenous fistu-la( AVF). Methods Retrospective analysis of laboratory data of hemoglobin( HGB),red cell distribution width-standard deviation( RDW-SD),red cell distribution width-coefficient of variation( RDW-CV),platelet,triglyceride and cholesterol was undertaken in 30 patients with late thrombosis of arteriovenous fistula. Thirty patients with AVF for maintenance hemodialysis but without thrombosis in the same hemodialysis center were as control. The above parameters were compared between two groups. Results The values of HGB and RDW in patients with throm-bosis were higher than those in control group,and the differences were statistically significant(all P <0. 05). There was no difference in platelet count and the levels of triglyceride and cholesterol between two groups(all P >0. 05). Conclusion HGB and RDW may be used as the indicator for the prediction of late thrombosis of AVF.