| 张黎明,夏兰,徐鹏程,等.维持性血液透析并发脑卒中的相关因素分析[J].中国临床保健杂志,2016,(3):267-269. |
| 维持性血液透析并发脑卒中的相关因素分析 |
| Study on the stroke-related factors in patients undergoing maintenance hemodialysis |
| 投稿时间：2015-11-18 |
| DOI：10.3969/J.issn.1672-6790.2016.03.014 |
| 中文关键词: 血液透析滤过 卒中 高血压 贫血 血小板减少 危险因素 |
| 英文关键词: Hemodiafiltration Stroke Blood pressure,high Anemia Thrombopenia Risk factors 〖FL |
| 基金项目:国家自然科学基金(81000534) |
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| 中文摘要: |
| 目的 探讨维持性血液透析(MHD)并发脑卒中的相关因素。方法 回顾性分析50例MHD并发脑卒中患者(卒中组)的临床资料,58例同期单纯血液透析患者(非卒中组)作为对照组。结果 卒中组较非卒中组血压高,血压波动大,总胆固醇高,平均透析时间短；其中脑梗死患者血糖高,三酰甘油较低；脑出血患者血红蛋白及血小板较低(P<0.05)。Logistic回归分析显示收缩压(P<0.01,OR=1.055)为血液透析发生脑卒中的危险因素,血小板(P=0.002,OR=0.985)、血红蛋白(P=0.011,OR=0.951)为血液透析发生脑出血的保护性因素。结论 MHD患者发生脑卒中与高血压、贫血、低血小板血症有关。 |
| 英文摘要: |
| Objective To explore the risk factors of patients with maintenance hemodialysis(MHD) complicating stroke. Methods The clinical data of 50 maintenance hemodialysis patients with stroke(stroke group) and 58 maintenance (non-stroke group) were analyzed retrospectively.Results The blood pressure, fluctuation of blood pressure,total cholesterol and glucose in the stroke group were higher than those of the non-stroke group, the dialysis time, triglycerides, hemoglobin and platelets was lower than those of the non-stroke group.(P<0.05). Logistic regression analysis showed that SBP(P<0.001,OR=1.055) was the risk factors of complicating stroke in patients with MHD, platelets(P=0.002,OR=0.985) and hemoglobin(P=0.011,OR=0.951) were protective factors of complicating stroke in patients with MHD. Conclusion Patients with maintenance MHD complicating stroke is associated with hypertension,anemia low blood platelet. |
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