| 血清白蛋白浓度影响维持性血液透析患者再住院的发生 |
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| 引用本文： | 董巧荣,胡桂才,邢玮,才春华,陈万欣.血清白蛋白浓度影响维持性血液透析患者再住院的发生[J].现代预防医学,2011,38(23):5006-5007. |
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| 作者姓名： | 董巧荣 胡桂才 邢玮 才春华 陈万欣 |
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| 作者单位： | 河北省承德医学院附属医院肾内科,承德,067000 |
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| 摘 要： | 目的]探讨血清白蛋白(ALB)浓度对维持性血液透析(MHD)患者再住院的影响. 方法]回顾分析了2006年1月～2009年12月期间确诊为CKD 5期且开始MHD治疗的两次或两次以上入院的患者45例,并选取同期未再住院的MHD患者作为对照组,记录患者进入血透时的年龄、性别、终末期肾衰(ESRD)的病因、开始血透时ALB浓度,发生再住院时的时间、原因以及再入院的ALB浓度. 结果]MHD发生再住院的患者45例,男25例,女20例,年龄26～83岁,平均年龄(60±14.6)岁；对照组45例,男26,女19例,年龄24～79岁,平均(59±15.8)岁.再入院时的原因依次为:心功能不全呼吸道感染重建血管通路脑血管病低血压心率失常-心动过缓消化道出血.开始血透时再住院组ALB浓度为(31.76±2.58) g/L,对照组为(33.58±1.68) g/L,两组比较差异有统计学意义(t=2.1076,P＜0.05)；再住院时再住院组ALB浓度为(30.68±3.84) g/L,对照组为(37.56±4.16) g/L,两组比较差异有统计学意义(t=8.1522,P＜0.05). 结论]低浓度的ALB值与MHD患者再住院的发生具有一定的相关性；一旦诊断ESRD,尽早开始行血液透析治疗,会减轻营养不良,降低再住院率.
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| 关 键 词： | 维持性血液透析 血清白蛋白 再住院 |
EFFECT OF SERUM ALB CONCENTRATION ON THE INCIDENCE OF READMISSION OF MAINTENANCE HEMODIALYSIS PATIENTS |
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| DONG Qiao-rong,HU Gui-cai,XING Wei,et al..EFFECT OF SERUM ALB CONCENTRATION ON THE INCIDENCE OF READMISSION OF MAINTENANCE HEMODIALYSIS PATIENTS[J].Modern Preventive Medicine,2011,38(23):5006-5007. |
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| Authors: | DONG Qiao-rong HU Gui-cai XING Wei |
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| Institution: | DONG Qiao-rong,HU Gui-cai,XING Wei,et al.(Department of Nephrology,Affiliated Hospital of Chengde Medical College,Chengde 067000,China) |
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| Abstract: | Objective]To investigate the correlation of serum ALB concentration and the incidence of readmission in maintenance hemodialysis patients.Methods]Reviewed and analyzed forty-five maintenance hemodialysis patients of chronic kidney disease who had twice or above twice readimission in our hospital from January in 2006 to Dece-mber in 2009;Took non-readmission patients during the same time as the control group.Recorded the items:Age,Sex,primary disease,pre-hemodialysis concentration of serum ALB,readmission ... |
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| Keywords: | Maintenance hemodialysis Serum ALB Readmission |
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