期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

维持性血液透析患者残余肾功能下降的临床因素分析 被引量：9

Risk factors for residual renal function decline among patients on maintenance hemodialysis therapy
下载PDF
导出
摘要 目的分析维持性血液透析(MHD)患者残余肾功能(RRF)下降的临床相关因素,为临床防治提供参考。方法收集213例MHD患者资料,根据RRF下降速率分为高RRF组(H-RRF)、低RRF组(L-RRF)和无RRF组(NO-RRF)。分析临床各指标与RRF下降的相关性。结果 125例(58.66%)RRF下降速率较慢,61例(28.64%)RRF下降速率较快,27例(12.68%)无RRF;临床资料分析显示,高龄、高舒张压、糖尿病、低血清白蛋白、高血β2-MG、主动脉根部内径短和左室射血分数低对维持性血液透析中患者RRF下降造成影响(均P<0.01)。结论高龄、高舒张压、糖尿病、低血浆白蛋白、高血微球蛋白、主动脉根部内径短和左室射血分数低是MHD患者RRF下降的危险因素,应针对性进行护理干预。
作者 杨莺卿 叶慧娟 陈贞
机构地区 莆田学院附属医院血液净化室
出处 《护理学杂志（综合版）》 CSCD 2015年第8期30-32,共3页 Journal of Nursing Science
关键词 残余肾功能 血液透析 危险因素 尿毒症
分类号 R473.5 [医药卫生—护理学]
  • 相关文献

参考文献14

  • 1Zufiiga San Martin C, Dapueto P J, MOller O H, et al. Health related quality of life among patients on chronic hemodialysis[J2. Rev Med Chil, 2009,137 (2) : 200-207. 被引量：1
  • 2Watanabe Y, Ohno Y, Inoue T, et al. Home hemodialy sis and conventional in-center hemodialysis in Japan: a comparison of health-related quality of life[J]. Hemodial Int, 2014,18(1) : 32-38. 被引量：1
  • 3Bansal N, McCulloch C E, Rahman M, et al. Blood pressure and risk of all-cause mortality in advanced chronic kidney d? sease and hemodialysis: the chronic renal insufficiency cohort study[J]. Hypertension, 2015,65 (1) : 93 -100. 被引量：1
  • 4Kutner N G, Zhang R, Huang Y, et al. Fails among he- modialysis patients: potential opportunities for preven-tion? [J].Clin Kidney J,2014,7(3) :257-263. 被引量：1
  • 5Collins A J, Foley R N, Herzog N, et al. Excerpts from the US Renal Data System 2009 annual Data Report[J]. Am J Kidney Dis,2010,55(1 Suppl 1) :S1-420,A6-7. doi: 10. 1053/j. ajkd. 2009,10. 009. 被引量：1
  • 6Gutifirrez-Adrianzfin O A, Moraes M E, Almeida A P, et al. Pathophysiological, cardiovascular and neuroendocrine chan ges in hypertensive patients during the hemodialysis session [J]. J Hum Hypertens,2015,29(6) :366-372. 被引量：1
  • 7Morishita Y, Hanawa S, Chinda J, et al. Effects of aliskiren on blood pressure and the predictive biomarkers for cardiovascular disease in hemodialysis-dependent chronic kidney disease patients with hypertension[J]. Hypertens Res,2011,34(3) :308-313. 被引量：1
  • 8Tamadon M R, Ghorbani R, Rezaei S, et al. Assessing of the relationship between renal function tests and retino- pathy stage in patients with type II diabetes[J]. J Renal Inj Prey,2015,4(1) :11- 14. 被引量：1
  • 9Williams M E, Garg R, Wang W,et al. High Hemoglo bin Alc levels and glycemic variability increase risk of se-vere hypoglycemia in diabetic hemodialysis patients [J2. Hemodial Int, 2014,18 ( 2 ) : 423-432. 被引量：1
  • 10韦洮,王梅,燕宇,杨冰,檀敏.血液透析患者残余肾功能的变化及其影响因素[J].北京医学,2012,34(4):283-286. 被引量：26

二级参考文献17

  • 1萧杏贤,张益民.透析患者残余肾功能及其保护[J].世界临床药物,2009,30(2):76-81. 被引量：5
  • 2龚兰生,李明洲.心肌梗塞后左心室重构[J].国外医学（内科学分册）,1995,22(1):1-5. 被引量：19
  • 3The TIMI Study Group. The Thrombolysis In Myocardial In farction (TIMI) trial[J]. N Engl J Med, 1985,31:932 -936. 被引量：1
  • 4Bossaert I., Conraads V, Pintens H. ST segment analysis: a useful marker for reperfusion after thrombolysis with APSAC. The BelgianEMSStudy Group[J]. Eur Heart J, 1991,12:357 -362. 被引量：1
  • 5Tomaszuk Kazberuk A, Korecki J, Kochman W, et al. Rapid resolution of ST segment elevation predicts recovery of left myo cardial contraction in patients with acute myocardial infarction treated with percutaneous coronary angioplasty[J]. Przegl Lek. 2002,59:638- 641. 被引量：1
  • 6Anna TK, dzimierz MS Awomir D, el al. Normalisation of elevated ST segment predicts return of left ventricular systolic func tion and improved outcome in patients with acute myocardial in farction, treated with primary coronary angioplasty[J]. Polish Heart Journal, 2004. 60: 6- 111. 被引量：1
  • 7Bossaert L, Conraads V, Pintens H. ST-segment analysis: a useful marker for reperfusion after thrombolysis with APSAC? The Belgian EMS Study Group[J]. Eur Heart J, 1991,12:357-362. 被引量：1
  • 8Hibberd MG,Chuang Ml.,Beaudin RA,et al. Accuracy of three dimensional echocardiography with unrestricted selection of imaging planes for measurement of left ventricular volumes and ejection fraction[J]. Am Heart J,2000,140 (3) :469-475. 被引量：1
  • 9Teichholz L E,Kreulen T, Herman MV,et al. Problem in echo cardiographic volume determinations : echocardiographic anglo graphic correlations in the presence or absence of asynergy[J] AmJ Cardiol,1976,37 (1) :7-11. 被引量：1
  • 10Jenkins C, Bricknell K, Hanekom I., et al. ReproduciBility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three dimensional echocardiography [J]. J AmCollCardiol, 2004,44(4) :878 -886. 被引量：1

共引文献32

同被引文献68

  • 1王丽妍,张东亮,刁宗礼,刘文虎.透析患者残余肾功能的保护[J].中国血液净化,2012,11(2):95-98. 被引量：23
  • 2白建梅,张凌,金承刚,张学滨,徐志宏,张菊,李荣山.规律血液透析患者甲状旁腺激素水平对腹主动脉钙化的效应分析[J].中国动脉硬化杂志,2015,23(5):448-452. 被引量：17
  • 3涂曦文,彭佑铭,唐东兴,谭太发,李丽文.维持性血液透析患者血管钙化及相关因素分析[J].中国动脉硬化杂志,2015,23(6):613-616. 被引量：25
  • 4中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:54-58. 被引量：1253
  • 5国家肾脏基金会.慢性肾脏病及透析的临床实践指南[M].北京:人民卫生出版社,2003:46. 被引量：3
  • 6Davenport A. Measuring residual renal function in dialysis patients: can we dispense with 24-hour urine collections? [J].Kidney Int, 2016, 89(5): 978-980. 被引量：1
  • 7Rroji M, Seferi S. Is residual renal function and better phosphate control in peritoneal dialysis an answer for the lower prevalence of valve calcification compared to hemodialysis patients?[J]. Int Urol Nephrol, 2014, 46( 1 ) : 175-182. 被引量：1
  • 8lmond A, Siddiqui S, Robertson S, et al. Comparison of combined urea and creatinine clearance and prediction equations as measures of residual renal function when GFR is low[J]. QJM,2008, 101(8): 619-624. 被引量：1
  • 9谢怀章,付金营.研究低磷饮食联合开同改善维持性血液透析顽固性高磷血症的影响[J].中国保健营养(上旬刊),2013(10):5517. 被引量：1
  • 10Patel N, Hu SL. Preserving residual renal function in dialysis: what we know[J]. Semin Dial, 2015, 28(3): 250-258. 被引量：1

引证文献9

二级引证文献32

护理学杂志（综合版）
2015年 第8期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部