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目的对老年维持性血液透析(MHD)患者发生低血压的危险因素进行分析。方法选取MHD患者126例,统计低血压发生情况,并对126例患者的临床资料展开回顾性分析。结果低血压与非低血压患者年龄、体质量增长率、白蛋白(ALB)、C-反应蛋白(CRP)、射血分数值、血红蛋白伴发糖尿病、冠心病间比较差异有统计学意义,经Logistic回归分析可知年龄、并发糖尿病、CRP与ALB是低血压发生的相关因素。结论炎症状态、糖脂代谢紊乱、高龄与营养不良均是老年MHD患者发生低血压的危险因素,这些因素可作为早期预测MHD患者低血压状态的重要因素。
Objective To analyze the risk factors of hypotension in elderly patients with maintenance hemodialysis (MHD). Methods A total of 126 patients with MHD were enrolled in this study. The incidence of hypotension was calculated. The clinical data of 126 patients were retrospectively analyzed. Results There were significant differences in age, body mass growth rate, albumin (ALB), C-reactive protein (CRP), ejection fraction, hemoglobin with diabetes mellitus and coronary heart disease in patients with hypotension and non-hypotension. Logistic regression analysis showed that age, concurrent diabetes, CRP and ALB were the related factors of hypotension. Conclusions Inflammatory state, dyslipidemia, advanced age and malnutrition are the risk factors of hypotension in the elderly patients with MHD. These factors may be used as an important factor to predict the hypotensive state of MHD patients in the early stage.