我们对老年患有慢性脏病患者的动脉静脉的经验
Güler Gülsen Ersoy1, Burak Tamtekin1, İsmail Taşkent2
1Department of Cardiovascular Surgery, Faculty of Medicine, Kastamonu University, Kastamonu, Turkey.
Hemodialysis international. International Symposium on Home Hemodialysis
|May 13, 2025
概括
与年轻患者相比,动脉静脉 (AVF) 在需要血液透析 (HD) 的老年患者 (≥70岁) 中表现相似. 这表明AVF是老年人群安全有效的血管接入选择.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 老年病的医生 老年病的医生
背景情况:
- 医疗保健的进步增加了需要血液透析 (HD) 的老年人口.
- 由于与年龄相关的血管变化和并发性疾病,在老年患者中使用动脉静脉 (AVF) 治疗HD是有争议的.
- 这项研究评估了AVF在老年人与年轻的HD患者中的安全性和有效性.
研究的目的:
- 为了比较70岁以上的患者和70岁以下患者的动脉静脉结 (AVF) 结果.
- 评估AVF的安全性和有效性,作为老年患者血液透析的血管接入.
主要方法:
- 对202名患者进行了针对末期脏疾病 (2022-2024) 进行AVF创建的回顾性单中心研究.
- 患者被分为两个组:≥70岁 (n=76) 和<70岁 (n=126).
- 使用卡普兰-梅尔分析和日志等级测试,比较AVF成熟,并发症率,需要新的AVF,以及初级/二级通透率.
主要成果:
- 在老年人 (50.0%) 和年轻人 (56.9%) 组 (p=0.330) 之间,可比的AVF成熟率.
- 在6个月内需要新AVF的比例相似 (11.2%对17.6%,p=0.387),晚期并发症或二次干预率没有显著差异.
- 卡普兰-梅尔分析显示,年龄组之间的初级 (p=0.411) 或二级 (p=0.432) 透度没有显著差异.
结论:
- 老年患者的动脉静脉结结果与年轻人相似.
- 在老年人中,AVF是血液透析的可行的血管接入选项.
- 患者特异性因素应指导老年人对AVF的考虑.
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