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Updated: Jun 14, 2025

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Assessment of Vascular Function in Patients With Chronic Kidney Disease
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透析患者血栓形成的危险因素:综合系统性审查和元分析
Parisa Shiri1, Shabab Rezaeian2, Alireza Abdi1
1Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
概括
透析患者的血栓形成风险在动脉静脉移植与管相比,在血液透析期间显著更高. 诸如单阶段转移,糖尿病和年龄等因素也会增加血栓事件.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管外科 血管外科
- 流行病学 流行病学
背景情况:
- 血栓形成是透析患者血管接入失败的主要原因.
- 多种风险因素有助于这种脆弱人群中发生血栓事件.
研究的目的:
- 识别和分析在透析患者中与血栓形成相关的因素.
- 根据不同的血管接入类型和患者特征量化血栓形成风险.
主要方法:
- 在国际数据库中进行系统的文献搜索.
- 使用STROBE和CONSORT检查清单进行研究质量评估.
- 使用CMA软件进行的元分析,遵循PRISMA指南.
主要成果:
- 与动脉静脉囊相比,动脉静脉移植显示出血栓形成的几率比率显著高 (10.93),与动脉静脉囊相比 (P=0.001).
- 血液透析患者患血栓的几率比非血液透析患者高3.60倍 (P=0.001).
- 单阶段基底静脉转移增加了血栓形成风险的1.89倍,而不是两阶段 (P=0.038).
结论:
- 透析患者的血栓形成与移植接入,单阶段转移和血液透析有显著联系.
- 其他危险因素包括糖尿病,高血糖血症,女性性别,年龄大于50岁,接入位置和低血流速度.
- 管理这些已识别的风险因素对于预防血栓事件和改善透析护理患者的结果至关重要.
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