摘要
Abstract
Objective To analyze the different placement of arteriovenous fistula (AVF) in hemodialysis patients and to explore the related influencing factors.Methods Eighty-nine patients underwent AVF operation from January 2012 to December 2013.Gender,age,diabetes,hypertension,BMI ≥ 25,smoke,hemoglobin,platelet,serum creatinine,blood urea nitrogen,uric acid,calcium,phosphorus,intact parathyroid hormone,albumin,cholesterol,high density lipoprotein,low density lipoprotein,triglyceride,fibrinogen,INR were collected.According to the placement of AVF,the patients were divided into wrist fistula group (n=68) and elbow fistula group (n=21).Statistical analysis was made and compared between the two groups.Results The number of female,with diabetes,age,fibrinogen in elbow fistula group were higher than those in wrist fistula group (P ＜ 0.05).Binary Logistic Regression analysis showed that diabetes could significantly influence the placement of AVF (OR=6.034,P=0.032).Conclusion Selecting the placements of AVF should consider the following conditions of patients,such as diabetes,whether they were menopausal women or not,their ages and higher blood fibrinogen,in order to improve the success rate of operation.关键词
动静脉内瘘/血液透析/糖尿病Key words
Arteriovenous fistula/ Hemodialysis/ Diabetes
