单中心4年维持性血液透析患者死亡危险因素回顾性分析

【】目的：探讨我透析中心维持性血液透析患者死亡原因及危险因素。 方法：选择2010年1月-2014年12 月新纳入的在我院行维持性血液透析的患者共198例,进行回顾性分析,统计死亡原因,使用寿命表法进行生存分析,用Cox回归分析死亡危险因素。结果：198例维持性血液透析患者在随访期间死亡44例,因感染而死亡的患者占29.6%,患者1年累积生存率为62%、3年累积生存率为45%、5年的累积生存率为41%。透析开始时的透析通路HR2.757(1.177-6.457)、血红蛋白水平HR0.969(0.947-0.992)、甲状旁腺激素水平HR1.007(1.002-1.012)为透析患者死亡的危险因素。结论：血红蛋白是我透析中心患者生存保护性因素,甲状旁腺激素水平是生存的危险性因素。患者死亡的首要因素是感染。

A retrospective analysis of the four-year date of hemodialysis risk factor for death in a single center

Objective: To investigate the cause of death and risk factor of hemodiaysis patients in our dialysis center. Method: From January 2010 to December 2014, 198 patients taking HD treatment in our center for 4 years were analyzed. Life table method for survival analysis, risk factors for death by Cox regression analysis. Results: There were 44 HD patients died during follow-up, the patients died due to infection accounted for 29.6%. Patients 1 year, 3-year, 5-year cumulative survival