中国动脉硬化杂志2011，Vol.19Issue(7)：613-616,4.
血液透析五年以上成人永久性血管通路患者生存质量与血流量的相关因素分析
The Related Research of Life Quality and Blood Flow in Adult Hemodialysis Patients with More Than Five Years of Permanent Vascular Access
曾蕾 1罗远标 1陈爱清 1庞雅君 1梁开 1庞新华 1郭润民 1莫志宁 1黄云平1
作者信息
- 1. 广东省湛江中心人民医院肾内科,广东省湛江市524037
- 折叠
摘要
Abstract
Aim To study the effect of blood flow on life qualifty in hemedialysis patients with more than five years of permanent vascular access. Methods 88 hemodialysis patients with more than five years of permanent vascular access were selected and divided into experimental group ( blood flow of vascular access ≤ 300 mL/min, n = 45 ) and control group ( blood flow of vascular access was 300 ～ 500 mL/min, n = 43 ). Patients in the experimental group and the control group were treated with conventional dialysis, and the complications, Hb, BUN, Scr, ALB, RRF and other factors affecting life quality were analyzed. Results After dialysis, BUN and Scr levels in the experimental group were higher than those in the control group (24. 87 ±7. 97 mmol/L and 675 ±232 μmol/L vs 17. 34 ±9. 53 mmol/L and 368 ±24 μmol/L;P ＜0. 05), Hb levels in the experimental group were lower than those in the control group (70. 62 ± 12. 03 g/L vs 76. 03 ± 13.05 g/L ;P ＜ 0. 05 ), ALB levels had no significant difference in the two groups (P ＞ 0. 05 ). RRF in the experimental group reduced 90. 9％, significantly higher than 36. 4％ of control group. The chance of restenosis and blood flow during reperfusion in the experimental group were significantly worse than those in the control group ( P ＜ 0. 05 ). Conclusions Patients with permanent vascular access for dialysis and vascular access blood flow ≤ 300 mL/min should pay attention to changes in bodily functions in the dialysis process. Dialysis program should be adjusted at the appropriate time by increasing dialysis frequency and prevention of complications to improve life quality.关键词
血液透析/永久性血管通路/血管通路狭窄/生存质量Key words
Hemodialysis/ Permanent Vascular Access/ Vascular Access Stenosis/ Life Quality分类
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曾蕾,罗远标,陈爱清,庞雅君,梁开,庞新华,郭润民,莫志宁,黄云平..血液透析五年以上成人永久性血管通路患者生存质量与血流量的相关因素分析[J].中国动脉硬化杂志,2011,19(7):613-616,4.
