摘要
目的探讨规范化管理对尿毒症维持血液透析患者心血管事件发生的影响。方法选取2012年1月~2013年12月本院的160例尿毒症维持血液透析患者作为研究对象,随机分为对照组和观察组,各80例。对照组采用传统管理模式,观察组采用规范化管理模式。比较两组的血压、血红蛋白达标率以及心血管事件发生率和死亡率。结果观察组管理后的血压达标率、血红蛋白达标率显著高于对照组,差异有统计学意义（P〈0.01、0.05）。观察组的心血管事件发生率、2年内总死亡率显著低于对照组,差异有统计学意义（P〈0.05）。结论规范化管理能够降低尿毒症维持血液透析患者的心血管事件发生率及死亡率,改善患者的预后及生存质量。
Objective To explore the influence of standardized management on cardiovascular events in maintenance hemodialysis patients with uremia. Methods 160 maintenance hemodialysis patients with uremia from January 2012 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group,80 patients in each group.The control group was given traditional management mode,the observation group was given standardized management.The standard-achieving rate of blood pressure and hemoglobin,the incidence rate of cardiovascular event and mortality rate was compared between the two groups. Results The standard-achieving rate of blood pressure and hemoglobin in the observation group was higher than that in the control group respectively,with significant difference（P〈0.01,0.05）.The incidence of cardiovascular event and total mortality rate within 2 years in the observation group was lower than that in the control group respectively,with significant difference（P〈0.05）. Conclusion Standardized management can reduce the incidence rate of cardiovascular event and mortality rate,improve the prognosis and quality of life of patients.
出处
《中国当代医药》
2016年第4期70-72,共3页
China Modern Medicine
基金
江西省科技计划项目(2013-ZBBG70013)
关键词
血液透析
规范化管理
心血管事件
Hemodialysis
Standardized management
Cardiovascular event
