60岁以上维持性血液透析患者左心室肥厚危险因素分析

摘要

Objective:To investigate the influential factors of left ventricular hypertrophy in patients with maintenance hemodialysis. Methods:Seventy-eight patients with maintenance hemodialysis who were treated in our hospital from July 2010 to July 2012 were collected by self-made questionnaire were divided into the control group and the observation group, theywere analysed by the SPSS16.0 for descriptive statistics and binary classification logistic regression analysis to find out the influential factors of left ventricular hypertrophy in patients with maintenance hemodialysis. Results:Sixty-five patients with maintenance hemodialysis had left ventricular hypertrophy,binary classification logistic regression analysis showed that high capacity load and anemia had risk factors for left ventricular hypertrophy in patients with maintenance hemodialysis,fully dialysis was a protective factor for left ventricular hypertrophy in patients with maintenance hemodialysis. Conclusion:The incidence rate of left ventricular hypertrophy in patients with maintenance hemodialysis was high.it is affected by various factors,We should take corresponding measures to reduce the incidence rate of left ventricular hypertrophy in patients with maintenance hemodialysis.%　　目的：探讨60岁以上维持性血液透析患者左心室肥厚危险因素。方法：采用自编问卷对2010年7月～2012年7月在我院进行维持性血液透析的87例慢性肾衰竭患者进行调查,采用二分类Logistic回归分析找出维持性血液透析患者左心室肥厚现状和危险因素。结果：在本研究入选的87例患者中,65例患者左心室肥厚,发生率为74.71%,高容量负荷和贫血是影响维持性血液透析患者左心室肥厚的危险因素,而透析充分是影响维持性血液透析患者左心室肥厚的保护因素。结论：维持性血液透析患者左心室肥厚较常见,其发生受多种因素的影响,我们应该采取针对性的措施,减少维持性血液透析患者左心室肥厚。