中国全科医学2017，Vol.20Issue(1)：67-70,4.DOI:10.3969/j.issn.1007-9572.2017.01.014
维持性血液透析患者自体动静脉内瘘失功的危险因素研究
Risk Factors of Dysfunction in Autogenous Internal Arteriovenous Fistula of Patients with Maintenance Hemodialysis
摘要
Abstract
Objective To discuss the risk factors of dysfunction in autogenous arteriovenous fistula(AVF)of patients with maintenance hemodialysis(MHD). Methods 303 MHD patients who underwent AVF surgery in the People's Hospital of Guangxi Zhuang Autonomous Region from January 2009 to September 2014 were enrolled in this study,and divided into two groups:fistula dysfunction group ( n = 97 ) and unobstructed group ( n = 206 ) according to their internal fistula function. Comparisons of general data, including basic situation and laboratory indicators were made between the two groups. Multivariate Logistic regression analysis was used to analyze the influencing factors. Results The proportion of woman and diabetes,age,and levels of albumin,platelet,phosphorus and parathyroid hormone(PTH)in fistula dysfunction group were significantly higher,while body weight,endogenous creatinine clearance rate( CCr)and fibrinogen levels were significantly lower than those in unobstructed group( P ﹤ 0. 05). There was no significant difference in the diameter of cephalic vein, diameter of radial artery,and levels of total cholesterol,triglyceride,hemoglobin,D - dimer and blood calcium between the two groups(P ﹥ 0. 05). Gender,age,platelet count,serum phosphorus,and combined with diabetes or not were independent factors of fistula function( P ﹤ 0. 05) . Conclusion Women,advanced age,high platelet level,hyperphosphatemia and diabetes are the risk factors of the dysfunction of AVF of patients with MHD,and will accelerate the fistula dysfunction.关键词
肾透析/输血,自体/动静脉瘘/危险因素Key words
Renal dialysis/Blood transfusion,autologous/Arteriovenous fistula/Risk factors分类
医药卫生引用本文复制引用
彭小梅,刘园园,吴潮清,曾春,刘芸芳,熊礼佳,叶琨..维持性血液透析患者自体动静脉内瘘失功的危险因素研究[J].中国全科医学,2017,20(1):67-70,4.基金项目
广西科技攻关计划项目 （）
