中国临床医学2025，Vol.32Issue(4)：568-577,10.DOI:10.12025/j.issn.1008-6358.2025.20241559
维持性血液透析患者心脏瓣膜钙化相关因素分析及其对预后的影响
Related factors and prognostic impact of cardiac valve calcification in maintenance hemodialysis patients
摘要
Abstract
Objective To explore risk factors for cardiac valve calcification(CVC)in maintenance hemodialysis(MHD)patients and evaluate its impact on cardiovascular events and mortality.Methods Retrospective selection of 223 patients with MHD admitted to the Department of Nephrology of Jinshan Hospital,Fudan University from June 30,2019 to June 30,2024,and enrollment completed within one week of June 30,2019.Patients were divided into CVC and non-CVC groups.Baseline data and 5-year follow-up data were collected.The binary logistic regression analysis was performed to explore the risk factors for CVC.Kaplan-Meier survival curve was used to analyze the survival rate of patients.Cox proportional hazard regression model was applied to evaluate the impact of CVC on the survival rates of MHD patients.Results Totally,223 MHD patients with an average age of(58.4±13.5)years and an average dialysis duration of(64.0±55.4)months were involved.Among them,136(61.0%)were males,117(52.5%)were complicated with CVC.Age,dialysis duration,diabetic kidney disease(DKD),the serum corrected total calcium and phosphate,intact parathyroid hormone(iPTH),high-sensitive C-reactive protein(hsCRP),and homocysteine(Hcy)were independent related factors for CVC(P＜0.05).Both all-cause mortality(46.6%vs 28.7%)and cardiovascular mortality(33.3%vs 16.0%)were significantly higher in the CVC group than those in the non-CVC group(P＜0.01).Conclusions Age,dialysis duration,the primary disease,calcium and phosphate,and inflammation-and nutrition-related serum indicators are associated with CVC in MHD patients.CVC significantly increases mortality risk of MHD patients.关键词
维持性血液透析/心脏瓣膜钙化/相关因素/心血管事件/死亡率Key words
maintenance hemodialysis/cardiac valve calcification/risk factor/cardiovascular event/mortality分类
医药卫生引用本文复制引用
王成军,鲍晓荣,乔子轩,缪妙,叶薇,汪丽珍,何正佳,王娇..维持性血液透析患者心脏瓣膜钙化相关因素分析及其对预后的影响[J].中国临床医学,2025,32(4):568-577,10.基金项目
上海市金山区医药卫生科技创新资金项目(2021-3-08).Supported by Jinshan District Medical and Health Technology Innovation Fund Project of Shanghai(2021-3-08). （2021-3-08）
