维持血液透析患者再住院相关因素分析

目的探讨维持血液透析患者再住院的相关因素。方法选择辽河油田中心医院维持血液透析住院2次及以上患者29例为观察组,同期未住院及住院1次患者44例为对照组,记录观察组住院原因,两组患者年龄、开始透析年龄、透龄、原发病因、血红蛋白、血生化、残余尿量相关指标。结果观察组慢性肾炎再住院率低于对照组,糖尿病肾病再住院率高于对照组,差异有统计学意义(P<0.05);低白蛋白血症、贫血、残余尿量与患者再住院相关(P<0.05)。结论原发病为糖尿病肾病患者再住院率高,感染及心血管疾病是患者再住院的主要原因,低血浆白蛋白、贫血、残余尿量减少与维持性血液透析患者再住院相关。

Analysis on Related Factors for Rehospitalization of Hemodialysis Patient

Objective To explore the hemodialysis patient rehospitalization related factors.Methods 29 cases of hemodialysis patients with 2 or more hospitalization experiences were selected as the observation group,44 cases of non-hospitalized or 1 time hospitalized patients of the same period were selected as the control group.Cause of hospitalization of the observation group,age,the initiation of dialysis age,dialysis time,primary disease,hemoglobin,blood biochemical indicators,and residual urine volume of the two groups were recorded.Results In the observation group,chronic nephritis readmission rate was lower than the control group,diabetic nephropathy readmission rate was higher,the difference was statistically significant(P<0.05).Hypoalbuminemia,anemia,residual urine volume is associated with hospitalizations in patients(P<0.05).Conclusion The hospitalization rate of patients with diabetic nephropathy as primary disease is high,the main reasons of which are infection and cardiovascular disease,the low serum albumin and residual urine volume,and anemia are correlated with rehospitalization of maintenance hemodialysis patients.