| 维持性血液透析患者肾性贫血纠正情况及其影响因素分析 |
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| 引用本文： | 平嘉溜,任颖斌,赵湘. 维持性血液透析患者肾性贫血纠正情况及其影响因素分析[J]. 浙江临床医学, 2021, 0(1) |
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| 作者姓名： | 平嘉溜 任颖斌 赵湘 |
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| 作者单位： | 浙江中医药大学;浙江省海宁市人民医院;浙江省医疗健康集团杭州医院;浙江省人民医院（杭州医学院附属医院） |
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| 基金项目： | 浙江省自然科学基金资助项目(LY16H05004);浙江省科技厅公益项目(2015C33204)。 |
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| 摘 要： | 目的探讨维持性血液透析(MHD)患者肾性贫血纠正情况及其影响因素。方法收集2017年9月至2019年9月行MHD治疗患者188例。根据血红蛋白水平分为A、B、C、D四组,比较各组间基线水平及CRP、TSAT、SF、preALB、ALB、iIPTH、Ca^2+、P^3-、TG、TC等实验室指标的差异,分析影响肾性贫血达标的影响因素。结果preALB、ALB、TSAT水平,A组>B组>C组>D组逐渐降低,四组比较差异有统计学意义(P<0.05)。iPTH、P^3-、CRP水平,A组0.05)。结论MHD患者肾性贫血治疗达标率较低,透前CRP、TSAT、preALB、ALB、iPTH、p-是MHD患者贫血不达标的影响因素。
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| 关 键 词： | 维持性血液透析 肾性贫血 影响因素 |
The renal anemia and its influencing factors in maintenance hemodialysis patients |
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| Abstract: | Objective To analyse the correction of renal anemia in maintenance hemodialysis patients and explore its influencing factor.Methods 188 cases of maintenance hemodialysis in Zhejiang medical&health group Hangzhou Hospital and Haining People's Hospital from September 2017 to September 2019 were selected.According to the level of hemoglobin,the patients in group A were divided into four groups:57 cases with Hb(>110 g/L)in group A,57 cases with lOOg/L(<110 g/L)in group B,48 cases with 90g/L(<100g/L)in group C and 26 cases with 90 g/L in group D.The baseline levels and laboratory indexes such as CRP,TSAT,SF,preALB,ALB,iPTH,Ca^2+,P^3-,TG and TC were compared among the groups,and the influencing factors of renal anemia were analyzed.Results PreALB,ALB and TSAT in each group decreased gradually in group A>group B>group C>group D,with significant difference(P<0.05).IPTH,P^3-,CRP in each group were gradually increased in group A
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| Keywords: | Maintenance hemodialysis Renal anemia Influence factor |
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