摘要
目的探讨维持性血液透析患者动静脉内瘘失功危险因素并制定预防措施。方法选择2015年10月至2019年10月于我院治疗的维持性血液透析患者134例,调查动静脉内瘘失功情况,采用单因素及多因素logistic回归分析维持性血液透析患者自体动静脉内瘘失功危险因素并制定预防策略。结果134例维持性血液透析患者中25例出现动静脉内瘘失功,发生时间[2.65(0.43)]年,17例经过静脉内膜增生物剥离后修复成功,8例重新建立动静脉内瘘。多因素logistic回归分析表明,营养不良、高磷血症、糖尿病肾病、高脂血症、低血压是维持性血液透析患者自体动静脉内瘘失功的独立危险因素(P<0.05)。结论维持性血液透析患者易发生自体动静脉内瘘失功,受到合并症、营养、疾病种类等影响,应采取针对性措施预防动静脉内瘘失功。
Objective To explore the risk factors of arteriovenous fistula dysfunction in maintenance hemodialysis patients and develop preventive measures.Methods We selected 134 cases of patients with maintenance hemodialysis treated in our hospital from October 2015 to October 2019 to investigate the arteriovenous fistula dysfunction,and univariate and multivariate logistic regression analysis were used to analyze the risk factors of autologous arteriovenous fistula dysfunction in patients with maintenance hemodialysis and develop preventive strategies.Results In the 134 cases of maintenance hemodialysis patients,25 cases had arteriovenous fistula dysfunction,which occurred time in[2.65(0.43)]years.17 cases were successfully repaired after venous endometrial hyperplasia stripped and 8 cases had reestablished arteriovenous fistula.Multivariate logistic regression analysis showed that the malnutrition,hyperphosphatemia,diabetic nephropathy,hyperlipidemia,and hypotension were the independent risk factors of autologous arteriovenous fistula dysfunction in maintenance hemodialysis patients(P<0.05).Conclusion The patients with maintenance hemodialysis were prone to autologous arteriovenous fistula dysfunction,which was affected by comorbidities,nutrition,and types of diseases,a targeted measures should be taken to prevent arteriovenous fistula dysfunction.
出处
《护理实践与研究》
2020年第13期24-26,共3页
Nursing Practice and Research
关键词
维持性血液透析
自体动静脉内瘘失功
危险因素
预防措施
Maintenance hemodialysis
Autologous arteriovenous fistula
Risk factors
Preventive measures
