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维持性血透患者高血压控制不良相关因素分析
引用本文:刘莉,任伟,汪鹏,王科,华飞.维持性血透患者高血压控制不良相关因素分析[J].安徽医药,2011,15(7):857-858.
作者姓名:刘莉  任伟  汪鹏  王科  华飞
作者单位:刘莉,LIU Li(安徽省合肥市第二人民医院肾内科);任伟,汪鹏,王科,华飞,REN Wei,WANG Peng,WANG Ke,HUA Fei(安徽省立医院肾内科,安徽,合肥,230000)
摘    要:目的探讨维持性血液透析患者高血压控制不良相关因素。方法对在安徽省立医院血透室进行血液透析的58例患者进行研究,血压控制良好组28例,血压控制不理想组30例,观察两组患者的KT/V、透析间期体重增长、HDF治疗等。采用单因素分析与多因素Logistic回归分析方法,分析维持性血透患者高血压控制不良的相关因素。结果单因素分析结果显示:未定期做HDF治疗、服用降压药物<3种、透析不充分(KT/V<1.2)、透析间期体重增加≥3 kg等与患者血压控制不良有关;多因素Logistic回归分析显示:未定期做HDF、透析不充分(KT/V<1.2)、透析间期体重增加≥3kg是维持性血透患者血压控制不良的独立危险因素。结论透析间期体重增长过多、透析不充分、未能定期行HDF治疗是维持性血透患者高血压控制不良的独立危险因素。

关 键 词:血液透析  高血压  因素分析

Factors associated with poorly-controlled hypertension in maintenance hemodialysis patients
LIU Li,REN Wei,WANG Peng,WANG Ke,HUA Fei.Factors associated with poorly-controlled hypertension in maintenance hemodialysis patients[J].Anhui Medical and Pharmaceutical Journal,2011,15(7):857-858.
Authors:LIU Li  REN Wei  WANG Peng  WANG Ke  HUA Fei
Institution:LIU Li1,REN Wei2,WANG Peng2,WANG Ke2,HUA Fei2(1.The Second People's Hospital of Hefei,2.Anhui Provincial Hospital,Hefei,Anhui 230000,China)
Abstract:Aim To explore the risk factors associated with poorly-controlled hypertension in maintenance hemodialysis(MHD)patients.Methods 58 maintenance hemodialysis cases were divided into well-controlled group(23 cases)and poorly-controlled group(25 cases)based on their blood pressure level.Singer-variable analysis and multi-variable analysis were used to analyse the risk factors of poorly-controlled blood pressure in MHD patients.Results Singer-variable analysis showed that weight increment larger than 3 kg during...
Keywords:hemodialysis  hypertension  risk factor  
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