在接受维护血液透析的尿血病患者中,高尿血病的患病率及其危险因素
Meng Zhang1, Gaoqiankun Huang1, Xiaorong Bao1
1Department of Nephrology, Jinshan Hospital Affiliated to Fudan University, Shanghai, China.
BMC nephrology
|January 30, 2025
概括
在维护血液透析 (MHD) 患者中,高尿路血常见. 较高的血清肌素,白蛋白和水平与这些患者的高尿血症有关.
科学领域:
- 腎病學和內科醫學.
- 临床生物化学 临床生物化学
- 尿路研究 尿路研究
背景情况:
- 超尿血是慢性病患者的一个重大问题.
- 了解其在维持血液透析 (MHD) 患者中的患病率和相关因素对于临床管理至关重要.
研究的目的:
- 确定在接受MHD的尿性患者中高尿血的流行率.
- 在这个患者群体中识别与高尿路血症相关的因素.
主要方法:
- 一项涉及202名接受MHD治疗至少3个月的尿素性患者的横截面研究.
- 测量了血清尿酸 (SUA) 水平,高尿血症定义为SUA≥420μmol/L.
- 使用后勤回归分析来识别相关因素.
主要成果:
- 超尿血的患病率很高,有66.34%的患者符合标准.
- 患有高尿血症的患者估计的淋巴细胞过率和血液CO2较低,但BMI,老年营养风险指数,血酸盐,,前专辑蛋白,专辑蛋白,血清肌素 (Scr) 和尿素较高.
- 升高的Scr,白蛋白和血被确定为与高尿血症相关的独立因素.
结论:
- 在接受维护血液透析的尿素性患者中,高尿素血症非常普遍.
- 血清肌素,白蛋白和血水平是该队列中高尿血症的重要独立危险因素.
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