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腹膜透析患者退出危险因素的Logistic分析
引用本文:陈晓霞,楼季庄,杨江生,袁红波,周敏林.腹膜透析患者退出危险因素的Logistic分析[J].疑难病杂志,2011,10(10):764-766.
作者姓名:陈晓霞  楼季庄  杨江生  袁红波  周敏林
作者单位:南京医科大学附属南京第一医院血液净化中心,210006
摘    要:目的探讨影响腹膜透析患者退出的危险因素。方法对90例规律腹膜透析患者的临床资料进行Logistic多因素分析。结果退出组(41例)患者中,28例死亡9例改用血透透析,4例失随访。与腹膜透析组(49例)相比,退出组患者透析时间明显偏短(P<0.01),Hb、Hct、Alb明显降低(P<0.01),血肌酐(Scr)偏低(P<0.05),血磷、血钾水平、钙磷乘积、甲状旁腺激素明显偏低(P<0.01),血脂指标(TC、TG、HDL、LDL)偏低(P<0.01,P<0.05),血压(SBP、DBP、MAP)明显偏高(P<0.01)。2组性别、BUN、UA、血钙等比较差异均无统计学意义(P>0.05)经Logistic多因素分析提示,患者血白蛋白水平、胆固醇水平、甲状旁腺素水平、平均动脉压是可能影响腹膜透析患者退出的危险因素。结论血白蛋白水平、胆固醇水平、甲状旁腺素水平、平均动脉压是可能影响腹膜透析患者退出的独立危险因素。

关 键 词:腹膜透析  危险因素  Logistic分析

Logistic analysis of risk factors in patients withdrew peritoneal dialysis
CHEN Xiao-xia,LOU Ji-zhuang,YANG Jiang-sheng,et al..Logistic analysis of risk factors in patients withdrew peritoneal dialysis[J].Journal of Difficult and Complicated Cases,2011,10(10):764-766.
Authors:CHEN Xiao-xia  LOU Ji-zhuang  YANG Jiang-sheng  
Institution:CHEN Xiao-xia,LOU Ji-zhuang,YANG Jiang-sheng,et al.Department of Blood Purification Center,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006,China
Abstract:Objective To analyze the risk factors that influencing patients withdrew peritoneal dialysis(PD).Methods We retrospectively analyzed 90 patients who received PD for more than 3 months in the hospital.Clinical data of patients were recorded.The prognostic factors were analyzed by multivariate Logistic analysis with the statistic software.Results Of all patients withdrew PD,28 cases were dead,9 cases were transferred to hemodialysis,4 cases were lost the follow up.Compared with PD patients,the time of dialysi...
Keywords:Peritoneal dialysis  Risk factors  Logistic analysis  
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