摘要
目的探讨尿毒症维持性血液透析(MHD)患者急性脑梗死发生情况及其危险因素.方法选取2018年10月-2020年9月于我院行MHD的尿毒症患者40例.依据患者是否发生急性脑梗死分为脑梗死组(11例)及非脑梗死组(29例).分析行MHD的尿毒症患者发生急性脑梗死的相关危险因素.结果脑梗死组糖尿病发病率均高于非脑梗死组,透析前SBP及DBP均高于非脑梗死组,差异有统计学意义(P<0.05);糖尿病、透析前DBP及SBP是影响MHD的尿毒症患者发生急性脑梗死的独立危险因素(OR值≥1,且P<0.05).结论对于行MHD的尿毒症患者需充分了解病史,治疗前测量血压,评估患者病情,以预防急性脑梗死发生.
Objective This paper aims to investigate the incidence and risk factors of acute cerebral infarction in patients with uremia maintenance hemodialysis(MHD).Methods 40 patients with uremia who underwent MHD in our hospital from October 2018 to September 2020 were enrolled.Patients were divided into the cerebral infarction group(11 cases)and the noncerebral infarction group(29 cases)according to whether they had acute cerebral infarction.The risk factors related to acute cerebral infarction in uremia patients undergoing MHD was analyzed.Results The incidence of diabetes in cerebral infarction group was higher than that in non-cerebral infarction group,and SBP and DBP before dialysis were higher than that in non-cerebral infarction group,the differences were statistically significant(P<0.05).Diabetes mellitus,pre-dialysis DBP and SBP were independent risk factors for acute cerebral infarction in uremia patients with MHD(OR value≥1,P<0.05).Conclusion For uremia patients undergoing MHD,it is necessary to fully understand the medical history,measure blood pressure before treatment and evaluate the patient's condition to prevent the occurrence of acute cerebral infarction.
作者
刘煜帆
LIU Yu-fan(Department of Neurology,Jiujiang First People's Hospital,Jiujiang Jiangxi 332000,China)
出处
《透析与人工器官》
2021年第3期11-12,14,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
尿毒症
维持性血液透析
急性脑梗死
危险因素
uremia
maintenance hemodialysis
acute cerebral infarction
risk factors
作者简介
刘煜帆(1982-),男,本科,主治医师。从事神经内科临床工作。
