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目的分析慢性肾功能衰竭患者血液透析期间心律失常的相关因素。方法回顾性分析选择本部30例慢性肾功能衰竭血液透析患者的病例。总结分析透析期间心律失常类型及相关因素。结果30例患者行血液透析956次,共发生心律失常242次(25.31%),且半数以上的心律失常发生于透析开始后2～4h。同时发现年龄与透析中心律失常的发生率呈正比。年龄越大,心脏损害并发症越多,血清K+浓度也相对增高。提示年龄差异有统计学意义(P<0.05)。结论慢性肾功能衰竭血液透析患者心律失常的发生随年龄、并发症、血清K+浓度增加而增加。
Objective To analyze the related factors of arrhythmia during hemodialysis in patients with chronic renal failure. Methods Retrospective analysis of selected 30 cases of chronic hemodialysis patients with renal failure cases. Summary analysis of type of arrhythmia during dialysis and related factors. Results Thirty patients underwent hemodialysis 956 times with 242 arrhythmias (25.31%), and more than half of the arrhythmias occurred 2 ~ 4 h after dialysis. At the same time, age was found to be directly proportional to the incidence of arrhythmia during dialysis. The older, more heart damage complications, serum K + concentration is also relatively high. Prompted age differences were statistically significant (P <0.05). Conclusions The occurrence of arrhythmia in hemodialysis patients with chronic renal failure increases with age, complications and serum K + concentration.