动脉静脉的结-风险因素和临床相关性
Iulia Dana Grosu1,2,3, Oana Stirbu4,5, Adalbert Schiller1,2
1Department of Internal Medicine II-Nephrology University Clinic, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania.
Biomedicines
|November 27, 2024
概括
动脉静脉囊 (AVF) 结在血液透析患者中很常见,但不会影响囊功能或生存. 更长的血液透析持续时间和更高的水平与AVF结有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 动脉静脉 (AVF) 是血液透析 (HD) 的首选血管通道.
- AVF结是一种研究不足的并发症,尽管HD患者有倾向于骨外结.
- 了解AVF化患病率和影响对于治疗透析患者至关重要.
研究的目的:
- 为了确定AVF化在维持性HD患者中的患病率.
- 为了确定与AVF结相关的风险因素.
- 评估AVF化的5年对状腺功能和患者死亡率的影响.
主要方法:
- 这是一项为期5年的前性研究,涉及161名维持性HD患者.
- 收集基线数据:血管接触史,并发病,人口统计,SGA和生物化学参数.
- 对血液流动,化,狭窄和动脉瘤的AVF超声波评估.
主要成果:
- 在AVF中,化的发病率为39%.
- 单变量分析将化与其他AVF并发症,更长的AVF/HD年份以及更高的血清/PTH联系起来.
- 多变量分析确定了更长的高清葡萄和更高的作为AVF化的独立预测因素.
结论:
- 在HD患者中,AVF结是常见的.
- 在5年内,AVF结并没有显著影响的通透性.
- AVF结与增加5年死亡风险没有关联.
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