昆明医科大学学报2025，Vol.46Issue(8)：72-77,6.DOI:10.12259/j.issn.2095-610X.S20250810
自体动静脉内瘘成形术成功率的影响因素
The Analysis of Factors Influencing the Success Rate of Autologous Arteriovenous Fistula
摘要
Abstract
Objective To explore the factors affecting the success rate of operation in patients with end-stage renal disease by analyzing and comparing the differences of patients'basic conditions and clinical laboratory data.Methods A total of 107 patients who underwent forearm autogenous arteriovenous fistula surgery in Nujiang Lisu Autonomous Prefecture People's Hospital from January 2021 to August 2024 were selected and divided into AVF failure group and AVF success group according to whether internal fistula occluded during the operation or within 1 week after the operation.The basic data and clinical laboratory data of enrolled patients were collected.Correlation statistical methods were used to compare whether there were differences between the two indexes.Results Univariate analysis showed that there were statistically significant differences between the two groups in smoking history,diabetes history,nephritic syndrome history,gender,preoperative blood pressure,hemoglobin,low density lipoprotein and total cholesterol(P<0.05).However,There was no significant difference between the two in history,age,white blood cell count,neutrophil count,lymphocyte count,monocyte count,platelet,creatinine,urea nitrogen,triglyceride,blood calcium,blood phosphorus,calcium-phosphorus product,fibrinogen,D-dimer and albumin(P>0.05).Binary Logistic regression analysis showed that gender,diabetes history,nephritic syndrome history,preoperative blood pressure,hemoglobin and low-density lipoprotein were independent risk factors for AVF initiation failure(P<0.05).Conclusion Female patients,history of diabetes mellitus,history of nephrotic syndrome,low hemoglobin,elevated low-density lipoprotein,and poor blood pressure control are independent factors affecting the failure of AVF initiation.关键词
血液透析/自体动静脉内瘘/血红蛋白/糖尿病Key words
Hemodialysis/Autogenous arteriovenous fistula/Hemoglobin/Hiabetes分类
医药卫生引用本文复制引用
鲁萍,何国勇,李黎,曾慧娟,孙紫娟,李俊..自体动静脉内瘘成形术成功率的影响因素[J].昆明医科大学学报,2025,46(8):72-77,6.基金项目
云南省高层次人才培养支持计划基金(RLMY20200022) （RLMY20200022）
昆明市卫生科技人才培养项目医学科技学科后备人才培养计划[2022-SW(后备)-86] （后备）
昆明医科大学第一附属医院博士科研基金(2021BS018) （2021BS018）
