摘要
目的调查分析河南省维持性血液透析(maintenance hemodialysis,MHD)患者心血管并发症的患病情况及相关因素。方法选择2006年9月～2007年12月河南省17个地市MHD患者共3278例,调查分析以下参数:①一般资料和血液透析参数;②心血管并发症:包括左心室肥厚,心肌缺血,充血性心力衰竭等患病情况;③相关因素调查:主要统计肾性贫血、高血压、透析不充分发生率。结果①心血管并发症:左心室肥厚占61.19%,心电图缺血性S-T段改变39.80%,充血性心力衰竭为29.59%,心律失常22.58%,冠状动脉疾病的患病率为18.41%,心包积液17.52%;②相关因素分析:肾性贫血、高血压、透析不充分患者心血管并发症患病率均明显高于无贫血、血压正常及透析充分者,差异性具有统计学意义。结论河南省MHD患者心血管并发症患病率较高,肾性贫血、高血压、透析不充分是影响心血管并发症发生发展的重要因素,积极防治心血管并发症及其相关因素,是提高MHD患者生活质量的关键所在。
Objective To investigate and analyze the morbidity rates and factors relating to cardiovascular complications in maintenance hemodialysis patients in Henan province. Methods We collected 3278 main- tenance hemodialysis patients from 17 cities in Henan province within the period from June 2006 to December 2007. We investigated and analyzed their general clinical data and hemodialysis parameters, the incidence of cardiovascular complications including left ventricular hypertrophy, heart muscle ischemia and congestive heart failure, and the factors possibly relating to cardiovascular complications including renal anemia, hypertension and insufficient dialysis, Results In these patients, the incidence of left ventricular hypertrophy was 61.19%, and that of heart muscle ischemia 39.80%, congestive heart failure 29.59%, arrhythmia 22.58%, coronary artery disease 18.41%, and hydropericardium 17.52%. The incidence of cardiovascular complications was significantly higher in patients with renal anemia, hypertension and insufficient dialysis than those without anemia and hypertension and with adequate dialysis, Conclusion The morbidity rate of cardiovascular complications was high in maintenance hemodialysis patients in Henan province. Renal anemia, hypertension and insufficient dialysis were the important risk factors for the complication of cardiovascular diseases. Therefore, prevention and management of cardiovascular complications and their related factors are important measures in improving their living quality.
出处
《中国血液净化》
2008年第7期361-362,365,共3页
Chinese Journal of Blood Purification
关键词
血液透析
心血管并发症
相关因素
Hemodialysis
Cardiovascular complications
Correlated factors
