摘要
目的探讨血液透析(HD)患者自体动静脉内瘘(AVF)使用中失功的危险因素,为采取针对性护理措施提供参考。方法选取2018年5月至2020年10月于我院行HD的患者138例作为研究对象,收集患者临床资料,采用单因素和多因素Logistic回归分析AVF失功能的影响因素。结果138例HD患者中,有30例出现AVF失功能,发生率为21.74%。两组性别、AVF使用时间、血钙、铁蛋白、胆固醇、Hb水平比较,差异无统计学意义(P>0.05);两组年龄、糖尿病、血栓形成、甲状旁腺激素(PTH)、C反应蛋白(CRP)、三酰甘油(TG)、血小板(PLT)、血磷水平比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、糖尿病、血栓形成、高血磷、高CRP水平、高TG水平、高PLT水平均是AVF失功能的危险因素。结论AVF失功能的危险因素包括年龄增加、糖尿病、血栓形成、高血磷水平、高CRP水平、高TG水平、高PLT水平,针对上述危险因素应给予高度重视,制定相应干预措施,避免AVF失功。
Objective This paper aims to explore the risk factors of dysfunction in the use of autogenous arteriovenous fistula(AVF)in hemodialysis(HD)patients,so as to provide references for taking targeted nursing measures.Methods 138 patients with HD in our hospital from May 2018 to October 2020 were selected as the research objects.The clinical data of the patients were collected.The influencing factors of AVF dysfunction were analyzed by univariate and multivariate logistic regression.Results AVF dysfunction occurred in 30 of 138 HD patients(21.74%).Multivariate logistic regression analysis showed that age,diabetes mellitus,high blood phosphorus,high CRP level,high TG level and high PLT level were risk factors for AVF dysfunction.Conclusion The risk factors of AVF dysfunction include age,diabetes mellitus,high blood phosphorus level,high CRP level,high TG level and high PLT level.
作者
江蕴
汪蕾
陈娜
JIANG Yun;WANG Lei;CHEN Na(Department of Hemodialysis,the First People's Hospital of Jingdezhen,Jingdezhen Jiangxi 333000,China)
出处
《透析与人工器官》
2021年第4期67-68,共2页
Chinese Journal of Dialysis and Artificial Organs
关键词
血液透析
动静脉内瘘
失功能
危险因素
hemodialysis arteriovenous fistula
dysfunction
risk factors
作者简介
江蕴(1986-),女,本科,主管护师,从事血透静脉内瘘护理工作。
