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目的探讨维持性血透患者发生心力衰竭的危险因素。方法回顾性分析145例维持性血透患者的临床资料,对照心衰组与非心衰组病例,用条件Logistic回归法分析心力衰竭发生与患者性别、年龄、肾衰竭基础病因等22项有关因素的相关性。结果单因素分析表明,与心力衰竭发生有关的因素有年龄、糖尿病肾病、高血压肾损害、透析总持续时间、每周促红素人均使用量、尿素清除指数(KT/V值)、高血压、低血红蛋白、低血清白蛋白、高血肌酐、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其他心脏器质性病变等。引入多因素Logistic回归方程的变量是年龄、糖尿病肾病、高血压肾损害、尿素清除指数、高血压、低血红蛋白、低血清白蛋白、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其它心脏器质性病变等。结论年龄、肾衰竭基础病因、透析不充分、高血压、低血红蛋白、低血清白蛋白、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其他心脏器质性病变是维持性血透患者发生心力衰竭的危险因素。
Objective To investigate the risk factors of heart failure in maintenance hemodialysis patients. Methods The clinical data of 145 patients with maintenance hemodialysis were retrospectively analyzed. According to the Logistic regression analysis, 22 relevant factors such as gender, age and basic etiology of renal failure were analyzed by conditional logistic regression analysis. Relevance. Results Univariate analysis showed that the factors associated with heart failure were age, diabetic nephropathy, hypertensive renal impairment, total duration of dialysis, weekly usage of erythropoietin, KT / V, , Low hemoglobin, low serum albumin, high serum creatinine, excessive weight gain during dialysis, concurrent infection, arteriovenous fistula, and other cardiac organic diseases. The multivariate logistic regression equation variables included age, diabetic nephropathy, hypertensive renal impairment, urea clearance index, hypertension, low hemoglobin, low serum albumin, excessive weight gain during dialysis, concurrent infection, arteriovenous fistula, There are other cardiac organic lesions and so on. Conclusion Age, underlying causes of renal failure, inadequate dialysis, hypertension, low hemoglobin, low serum albumin, excessive weight gain during dialysis, concurrent infection, arteriovenous fistula, and other cardiac organic lesions are maintenance Risk factors for heart failure in hemodialysis patients.