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尿毒症腹膜透析病人骨质疏松的危险因素及相关性研究

葛霄琳 袁立 杨晓莉 曹艳佩

护理研究2017,Vol.31Issue(12):1457-1459,3.
护理研究2017,Vol.31Issue(12):1457-1459,3.DOI:10.3969/j.issn.1009-6493.2017.12.015

尿毒症腹膜透析病人骨质疏松的危险因素及相关性研究

Study on risk factors and correlation of osteoporosis in patients with peritoneal dialysis

葛霄琳 1袁立 1杨晓莉 1曹艳佩1

作者信息

  • 1. 200040,复旦大学附属华山医院
  • 折叠

摘要

Abstract

Objective:To probe into the risk factors of osteoporosis in patients with peritoneal dialysis.Methods:A total of 130 uremic patients were randomly treated with peritoneal dialysis in our hospital from March 2015 to March 2016.The patient's general information and biochemical test results were collected and bone mineral density of lumbar vertebrae and femur was measured by dual energy X-ray.Logistic regression analysis was used to analyze the related factors of osteoporosis.Results:In 130 patients,30 cases of normal bone mass(23.1%),42 cases with osteopenia(32.3%) and 58 cases with osteoporosis(44.6%).Logistic regression analysis showed that age(OR=3.261,P=0.012),gender(OR=4.617,P=0.000),hypertension(OR=2.762,P=0.008),diabetes(OR=3.711,P=0.005),coronary heart disease(OR=4.821,P=0.014),dialysis age(OR=3.268,P=0.002) were risk factors for osteoporosis.The age(r=0.317,P=0.000),gender(r=0.226,P=0.003),hypertension(r=0.172,P=0.000),diabetes(r=0.147,P=0.014),coronary heart disease(r=0.102,P=0.016),dialysis age(r=0.213,P=0.002) were correlated with osteoporosis.Conclusion:Age,gender,hypertension,diabetes mellitus,coronary heart disease and dialysis age were risk factors for osteoporosis in patients with peritoneal dialysis.Specialist nurses need to intervene aiming at the risk factors that can be adjusted,so as to improve the quality of life of patients and reduce complications.

关键词

尿毒症/腹膜透析/骨质疏松/危险因素/年龄/性别/透析龄/高血压

Key words

uremia/peritoneal dialysis/osteoporosis/risk factors/age/sex/dialysis age/hypertension

分类

医药卫生

引用本文复制引用

葛霄琳,袁立,杨晓莉,曹艳佩..尿毒症腹膜透析病人骨质疏松的危险因素及相关性研究[J].护理研究,2017,31(12):1457-1459,3.

基金项目

中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年医学教育研究立项课题,编号:2016B-HL021. ()

护理研究

OA北大核心CSTPCD

1009-6493

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