中国社区医师2016，Vol.32Issue(8)：142-142,144,2.DOI:10.3969/j.issn.1007-614x.2016.8.87
透析患者钙磷IPTH达标率相关因素分析及干预措施研究
Analysis of the related factors and intervention measures of calcium,phosphorus and IPTH compliance rate in hemodialysis patients
王超民 1王超 1薛增芬 1靳朋松 1郭增玉1
作者信息
摘要
Abstract
Objective:To explore the prevalence situation of chronic kidney disease-mineral and bone disorder(CKD-MBD) in hemodialysis patients,and to analyze the related risk factors,and to make intervention measures.Methods:General information of patients were collected.We measured serum calcium,serum phosphorus,serum IPTH,and analyzed the compliance rate and related factors of CKD-MBD each index in hemodialysis patients.According to KDIGO guidelines,we made a strengthening management strategy,and compared the compliance rate change after 1 year of intensive management.Results:The compliance rate of serum calcium,serum phosphorus,serum IPTH in hemodialysis patients was 42.97%,42.19%,20.31% respectively.Serum calcium,serum phosphorus,serum IPTH were all up to the standard in 16 cases(6.25%) only.By multi factor Logistic regression analysis,the risk factors of hyperphosphatemia were creatinine level and TG before hemodialysis.The risk factors of high IPTH were hemodialysis age,hyperphosphatemia and hypocalcemia.After strengthening managemen,the compliance rate respectively was 57.8% of serum calcium,59.38% of serum phosphorus and 33.2% of serum IPTH,the compliance rate of all three indexes was 14.8%.Conclusion:CKD-MBD was common in maintenance hemodialysis patients,the levels of calcium,phosphorus and IPTH were affected by many factors.Strengthening management can improve the compliance rate of CKD-MBD indicators.关键词
血液透析/强化管理/达标率Key words
Hemodialysis/Strengthening management/Compliance rate引用本文复制引用
王超民,王超,薛增芬,靳朋松,郭增玉..透析患者钙磷IPTH达标率相关因素分析及干预措施研究[J].中国社区医师,2016,32(8):142-142,144,2.
