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尿毒症血透发生运动障碍综合征的影响因素分析

Analysis of Factors Influencing the Occurrence of Dyskinesia Syndrome in Uremic Hemodialysis
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摘要 目的探究尿毒症血透患者发生运动障碍综合征(LS)的影响因素。方法选取2020年5月至2022年12月本院接收的85例尿毒症血透患者进行研究,评估患者LS发生状况,并分为发生组、未发生组;设计一般资料调查问卷表,经Logistic回归分析尿毒症血透患者发生LS的影响因素。结果85例尿毒症血透患者中,有38例发生LS,发生率为44.71%。发生组害怕跌倒、中心型肥胖、铁缺乏、合并症种类>2种占比均高于未发生组,营养和炎症状况评分高于未发生组,有统计学差异(P<0.05);两组其他一般资料比较,无统计学差异(P>0.05)。经Logistic回归分析,结果显示,害怕跌倒、中心型肥胖、铁缺乏、合并症种类>2种、营养和炎症状况评分高均为尿毒症血透患者发生LS的影响因素(P<0.05)。结论尿毒症血透患者发生LS可能受患者害怕跌倒、铁缺乏、合并症多、中心型肥胖、营养和炎症程度重等因素影响。 Objective To investigate the influencing factors of the occurrence of dyskinesia syndrome(LS)in uremic hemodialysis patients.Methods Eighty-five uremic hemodialysis patients received in our hospital from May 2020 to December 2022 were selected for the study to assess the status of the occurrence of LS in the patients and were divided into the occurrence group and the non-occurrence group;a questionnaire form of general information was designed to analyze the influencing factors of the occurrence of LS in uremic hemodialysis patients by logistic regression.Results Among 85 uremic hemodialysis patients,LS occurred in 38 cases,with an incidence rate of 44.71%.The percentage of fear of falling,central obesity,iron deficiency,and type of comorbidity>2 were higher in the occurrence group than in the non-occurrence group,and the nutritional and inflammatory status scores were higher than in the non-occurrence group,which were statistically different(P<0.05);there was no statistically significant difference in the comparison of other general information between the two groups(P>0.05).After logistic regression analysis,the results showed that fear of falling,central obesity,iron deficiency,type of comorbidities>2,and high nutritional and inflammatory status scores were all influential factors for the occurrence of LS in uremic hemodialysis patients(P<0.05).Conclusion The occurrence of LS in uremic hemodialysis patients may be influenced by patients'fear of falling,iron deficiency,high comorbidity,central obesity,and high nutritional and inflammatory status.
作者 程天霞 檀凤 CHENG Tian-xia;TAN Feng(Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang 332000,Jiangxi Province,China)
机构地区 九江市中医医院
出处 《罕少疾病杂志》 2024年第11期111-112,129,共3页 Journal of Rare and Uncommon Diseases
关键词 尿毒症 血液透析 运动障碍综合征 营养和炎症状况 中心型肥胖 铁缺乏 Uremia Hemodialysis Dyskinesia Syndrome Nutritional and Inflammatory Status Central Obesity Iron Deficiency
作者简介 第一作者/通讯作者:程天霞,女,主管护师,主要研究方向:血透患者休息与运动相关护理。E-mail:chengtianxia12@163.com。
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