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维持性血液透析对老年心血管疾病的非传统危险因素分析
引用本文:桂定坤,陈建国,陈宜方. 维持性血液透析对老年心血管疾病的非传统危险因素分析[J]. 心脑血管病防治, 2010, 10(1): 15-16,25
作者姓名:桂定坤  陈建国  陈宜方
作者单位:浙江医院肾内科,浙江,杭州,310013
摘    要:
目的:分析老年维持性血液透析(MHD)患者心血管疾病的非传统危险因素。方法:选取45例老年MHD患者及18例肾功能正常的老年心血管疾病患者,MHD患者分心血管疾病组20例和非心血管疾病组25例。分别检测血肌酐(SCr)、尿素氮(BUN)、钙(Ca)、磷(P)、甲状旁腺激素(PTH)、白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TF)、C反应蛋白(CRP)和同型半胱氨酸(HCY)。结果:与肾功能正常的心血管疾病组相比,MHD组血BUN、SCr、P、PTH、CRP及HCY明显升高(P0.05),而ALB、PA、TF和Ca显著降低(P0.05)。与MHD非心血管疾病组相比,MHD心血管疾病组血P、PTH、CRP及HCY明显升高(P0.05),而ALB、TF和Ca显著降低(P0.05)。结论:老年MHD患者心血管疾病发生的非传统危险因素可能包括钙磷代谢紊乱、甲状旁腺功能亢进、营养不良、炎症及高同型半胱氨酸血症。

关 键 词:维持性血液透析  心血管疾病  危险因素

Nontraditional Risk Factors for Cardiovascular Disease in Elderly Patients Maintained Hemodialysis
GUI Ding-kun,CHEN Jian-guo,CHEN Yi-fang. Nontraditional Risk Factors for Cardiovascular Disease in Elderly Patients Maintained Hemodialysis[J]. Prevention and Treatment of Cardio_Cerebral_Vascular Disease, 2010, 10(1): 15-16,25
Authors:GUI Ding-kun  CHEN Jian-guo  CHEN Yi-fang
Affiliation:GUI Ding-kun,CHEN Jian-guo,CHEN Yi-fang. Department of Nephrology,Zhejiang Hospital,Zhejiang 310013,China
Abstract:
Objective To analyze nontraditional cardiovascular risk factors in elderly patients maintained hemodialysis (MHD). Methods 45 elderly MHD patients and 18 elderly cardiovascular disease (CVD) patients with normal renal function (control group) were enrolled in this study. The 45 MHD patients were again divided into CVD subgroup (20 cases) and non-CVD subgroup (25 cases). Serum creatinine(SCr), BUN, calcium (Ca), phosphorus (P), parathyroidhormone (PTH), albumin (ALB), pre-albumin (PA), transferrin (TF), C-re...
Keywords:Elderly patients maintained hemodialysis  Cardiovascular disease  Nontraditional cardiovascular risk factors  
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