维持性血液透析患者频发透析中低血压的相关因素分析.docxVIP

维持性血液透析患者频发透析中低血压的相关因素分析 Analysis of related factors of frequent intradialytic hypotension in maintenance hemodialysis patients CHEN Xuelan1 QIU Yuliang2 1.Department of Disease Prevention， the Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine， Fuzhou *****， China; 2.Department of Nephrology， the Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine， Fuzhou *****， China [Abstract] Objective To explore and analyze the related factors of frequent intradialytic hypotension（IDH） in patients with maintenance hemodialysis. Methods The data of 158 patients undergoing maintenance hemodialysis in our hospitals blood purification center from June 2017 to December 2018 were retrospectively analyzed. According to whether the incidence of hypotension in dialysis was≥20%， the patients were divided into frequent IDH group and non-frequent IDH group. The dialysis data were collected. The age，dialysis age， average ultrafiltration volume， parathyroid hormone （PTH）， serum albumin， serum creatinine， blood urea nitrogen and hemoglobin were compared between the two groups. The influencing factors of frequent intradialytic hypotension（IDH） were summarized and analyzed. Results Among the 158 patients， 33 patients had frequent IDH，accounting for 20.89%. There were significant differences in age， average ultrafiltration volume， serum albumin and hemoglobin between the two groups， and the differences were statistically significant（P0.05）. Logistic analysis showed that age and average ultrafiltration volume were risk factors of frequent IDH， serum albumin and hemoglobin were protective factors（P0.05）. Conclusion Age， average ultrafiltration volume， serum albumin and hemoglobin are factors related to the occurrence of frequent IDH. In clinical work， it is necessary to strengthen the attention and management of these indicators for maintenance hemodialysis patients， and according to the patients personal situation， relev