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肾病门诊慢性肾脏疾病患者贫血情况调查
引用本文:刘旭,尹道馨,徐睿,张东亮,刘文虎. 肾病门诊慢性肾脏疾病患者贫血情况调查[J]. 临床和实验医学杂志, 2011, 10(20): 1574-1576
作者姓名:刘旭  尹道馨  徐睿  张东亮  刘文虎
作者单位:首都医科大学附属北京友谊医院肾内科,首都医科大学肾病学系,北京,100050
基金项目:北京市科技计划课题项目
摘    要:目的了解慢性肾脏疾病(CKD)患者的贫血状况,对贫血相关因素进行分析,为采取相应对策改善患者贫血状况提供依据。方法采用筛查的方法,对北京友谊医院就诊的129例慢性肾脏病患者进行问卷调查,抽取血样标本化验相应指标,应用统计软件进行分析。结果对129例调查对象进行慢性肾脏病分期,Ⅳ期患者血红蛋白平均值显著低于Ⅱ期患者(P<0.001),Ⅳ期患者贫血发生率、促红细胞生成素治疗率和铁剂治疗率显著高于Ⅱ期患者(P<0.05)。单因素分析显示,女性与CKD患者贫血发生相关(χ2=8.293,P=0.004)。多因素分析显示,女性(OR=3.679;95%CI:1.383~9.783;P=0.009)、体质指数(BMI)≥24(OR=5.155;95%CI:1.380-19.254;P=0.015)为CKD患者发生贫血的独立危险因素。结论女性患者和肥胖患者是CKD患者中贫血的高发人群,更应引起重视。慢性肾脏病患者补充促红细胞生成素和铁剂的治疗还需进一步完善。

关 键 词:慢性肾脏病  贫血  危险因素

A study of the anemia statues of the chronic kidney disease patient attending the kidney outpatient service
LIU Xu,YIN Dao-xin,XU Rui,ZHANG Dong-liang,LIU Wen-hu. A study of the anemia statues of the chronic kidney disease patient attending the kidney outpatient service[J]. Journal of Clinical and Experimental Medicine, 2011, 10(20): 1574-1576
Authors:LIU Xu  YIN Dao-xin  XU Rui  ZHANG Dong-liang  LIU Wen-hu
Affiliation:LIU Xu,YIN Dao-xin,XU Rui,ZHANG Dong-liang,LIU Wen-hu.Department of Nephrology,Division of Nephrology,Beijing Friendship Hospital,Captial Medical University,Beijing 100050,China.
Abstract:Objective To investigate the factors that might be related to the anemia status of the chronic kidney disease patient attending the Beijing Friendship Hospital,in order to improve the treatment of patients with anemia.Methods One hundred and twenty nine patients with chronic attending the kidney outpatient service of Beijing Friendship Hospital took blood tests and were surveyed with questionnaire.Statistical analysis was made by SPSS version 16.0.Results 129 patients with chronic kidney disease were classi...
Keywords:Chronic kidney disease  Anemia  Risk factor  
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