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慢性肾衰竭患者尿毒症期并发脑病的发生率和危险因素分析

宋金雁 魏巧兰

国际医药卫生导报2016,Vol.22Issue(21):3248-3250,3.
国际医药卫生导报2016,Vol.22Issue(21):3248-3250,3.DOI:10.3760/cma.j.issn.1007-1245.2016.21.011

慢性肾衰竭患者尿毒症期并发脑病的发生率和危险因素分析

The incidence and risk factors of encephalopathy in uremic patients with chronic renal failure

宋金雁 1魏巧兰1

作者信息

  • 1. 459000 济源市人民医院肾内科
  • 折叠

摘要

Abstract

Objective To investigate the incidence and related risk factors of encephalopathy in uremic patients with chronic renal failure (CRF).Methods Clinical data of 289 uremic patients with CRF was reviewed,in whom there were 32 cases of uremic encephalopathy (UE).Carried out LOGISTIC single factor regression analysis for possible risk factors of UE,screened out significant factors for LOGISTIC multivariate regression analysis,carried out rating scale,the patients were divided into risk group,high risk group,and critically risk group,analyzed the incidence of UE of each group.Results Serum creatinine,systolic blood pressure,blood potassium,carbon dioxide binding force,whether regular blood filtration and perfusion,SCL-90 psychological score,infection,antibiotics use were significant risk factors of uremia encephalopathy for CRF patients.The incidence of UE in risk group was 1.71%,12.14% in high risk group,40.63% in critically risk group,with statistically significant difference among three groups (P<0.05).Conclusion The risk factors of UE for CRF patients were complicated,primary disease and complications should be actively treated,we should strengthen the health education and psychological intervention of patients with serious negative emotions.

关键词

慢性肾衰竭/尿毒症脑病/危险因素

Key words

Chronic renal failure/Uremic encephalopathy/Risk factors

引用本文复制引用

宋金雁,魏巧兰..慢性肾衰竭患者尿毒症期并发脑病的发生率和危险因素分析[J].国际医药卫生导报,2016,22(21):3248-3250,3.

国际医药卫生导报

1007-1245

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