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| 尿毒症脑病的危险因素分析 | |
| 引用本文： | 王红月,李贞兰,陈燕,安莲华. 尿毒症脑病的危险因素分析[J]. 中风与神经疾病杂志, 2010, 27(10) |
| 作者姓名： | 王红月 李贞兰 陈燕 安莲华 |
| 作者单位： | 1. 吉林大学白求恩第一医院肾病科,吉林,长春130021 2. 吉林大学白求恩第一医院康复科,吉林,长春130021 3. 吉林大学白求恩第一医院科教部,吉林,长春130021 |
| 摘 要： | 目的探讨维持性血液透析患者发生尿毒症脑病的危险因素。方法以2008年6月～2009年12月于吉林大学白求恩第一医院就诊的尿毒症血液透析患者为研究对象,对比发生尿毒症脑病(32例)及对照组(89例,无尿毒症脑病)的年龄、性别、吸烟史、饮酒史、原发病、血压情况、血液透析时间、血液透析频率、是否定期血液滤过或血液灌流治疗及实验室检查情况,以Logistic多因素逐步回归分析确立尿毒症脑病的独立危险因素。结果尿毒症脑病组年龄、尿毒症的原发病、血液透析频率、是否定期血液滤过或血液灌流、血BUN、HGB、Ca2+、iPTH、GLU2+、K+、CO2CP值与对照组有显著性差异(P0.05或P0.01)。Logistic逐步回归分析示血K+小于3.5mmol/L、糖尿病导致的尿毒症以及未定期行血液滤过或血液灌流治疗是血液透析患者发生尿毒症脑病的独立危险因素,风险比值和95%可信限分别为2.879、1.069～6.661,4.124、1.534～9.723,5.620、2.184～11.783。结论血K+小于3.5mmol/L、糖尿病导致的尿毒症以及未定期行血液滤过或血液灌流治疗是尿毒症脑病的独立危险因素。 |
| 关 键 词： | 尿毒症脑病 独立危险因素 血液透析 |
Analysis on risk factors of uremic encephalopathy |
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| WANG Hong-yue,LI Zhen-lan,AN lian-hua,et al.. Analysis on risk factors of uremic encephalopathy[J]. Journal of Apoplexy and Nervous Diseases, 2010, 27(10) | |
| Authors: | WANG Hong-yue LI Zhen-lan AN lian-hua et al. |
| Affiliation: | WANG Hong-yue,LI Zhen-lan,AN lian-hua,et al.(Department of Nephrology,First Hospital of Jilin University,Changchun 130021,China) |
| Abstract: | Objective To investigate the risk factors of uremic encephalopathy in the patients with hemodialysis (HD).Methods The patients who had uremia and were accepting the treating of HD in the First Hospital of Jilin University were divided into uremic encephalopathy(n=32) group and control(no uremic encephalopathy,n=89)group.Their age,sex,history of smoking,drinking,disease that causes uremia,blood pressure,time and frequency of HD,whether treated with hemofiltration (HF) or hemoperfusion (HP) and laboratory ind... |
| Keywords: | Uremic encephalopathy Independent risk factors Hemodialysis |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |