摘要
目的探讨影响维持性血液透析患者发生脑出血的相关危险因素及其预后情况。方法选择2010年2至2020年4月在我院行血液透析治疗且发生脑出血的20例尿毒症患者设为观察组,20例未发生脑出血的尿毒症患者设为对照组。收集两组资料,分析影响维持性血液透析患者发生脑出血的相关危险因素及其预后情况。结果多因素Logistic回归分析显示:年龄≥60岁,合并糖尿病,合并高脂血症,合并高血压,透析时间≥1.5年,均为维持性血液透析患者发生脑出血的高危因素(P<0.05,OR>1);20例合并脑出血患者的预后不良率为55.00%,预后良好率为45.00%。结论维持性血液透析患者发生脑出血与年龄、合并基础疾病、透析时间密切相关,其预后相对较差,临床需针对各种危险因素加强防治,以预防脑出血的发生,改善患者预后。
Objective This paper aims to investigate the related risk factors and prognosis of cerebral hemorrhage in patients with maintenance hemodialysis.Methods 20 uremic patients who underwent hemodialysis in our hospital from February2010 to April 2020 and had cerebral hemorrhage were selected as the observation group,and 20 uremic patients without cerebral hemorrhage were selected as the control group.Data of the two groups were collected to analyze the related risk factors and prognosis of cerebral hemorrhage in maintenance hemodialysis patients.Results Multivariate logistic regression analysis showed that age≥60 years old,diabetes,hyperlipidemia,hypertension,dialysis time≥1.5 years were high-risk factors affecting cerebral hemorrhage in patients with maintenance hemodialysis(P<0.05,OR>1);among 20 patients with cerebral hemorrhage,the good prognosis rate was 45.00%,and the poor prognosis rate was 55.00%.Conclusion Cerebral hemorrhage in maintenance hemodialysis patients is closely related to age,underlying diseases,and dialysis time,and the prognosis is relatively poor.It is necessary to strengthen prevention and treatment of various risk factors in clinical practice to prevent cerebral hemorrhage and improve the prognosis of patients.
作者
吴俊
张崇太
林国境
汤富平
WU Jun;ZHANG Chong-tai;LIN Guo-jing;TANG Fu-ping(Department of Neurosurgery,Shangrao Municipal Hospital,Shangrao Jiangxi 334000,China;Department of Nephrology,Shangrao Municipal Hospital,Shangrao Jiangxi 334000,China)
出处
《透析与人工器官》
2020年第4期20-22,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
脑出血
血液透析
影响因素
预后
cerebral hemorrhage
hemodialysis
influencing factors
prognosis
