维持性血液透析患者住院相关因素分析及应对策略

摘要

目的：：分析维持性血液透析(MHD)患者住院原因及相关因素，探讨减少MHD患者住院的策略。方法：对2010~2013年某院39例MHD住院患者进行回顾性分析，并和同期非住院的MHD患者比较，观察透析次数、营养状况、血红蛋白、铁蛋白、超敏C反应蛋白、脑钠肽等指标。结果：MHD患者住院的首要原因为呼吸道感染和心功能不全；营养不良、透析充分性、透析间期体重增加过多、炎症状态、BNP增高等是MHD住院的相关因素。加强营养支持治疗和卫生宣教，及早控制潜在心功能不全及炎症状态可能会减少MHD患者住院率，改善预后。%Objective:To analyze the reasons why the MHD patients Hospitalize and relevant factors,and investigate the countermeasures to reduce the hospitalization of MHD patients.Methods:A retrospective anal-ysis was made on the data of 39 cases of hospitalized MHD patients during 2010~2013in our hospital.Com-pare them with concurrent non-hospitalized MHD patients,detect dialysis times,nutritional status,hemoglo-bin,feeritin,high sensitivity C-reactive protein(hs-CRP),BNP and other indexes.Results:The primary cau-ses for the hospitalization of the MHD patients were respiratory infection and cardiac insufficiency;dystro-phy,dialysis adequacy,excessive weight gain during dialysis,inflammation and rising in BNP were the correl-ative factors.Conclusion:To strength nutrition-supported therapy and propaganda and education about health and try to control possible cardiac insufficiency and the inflammation earlier would lower MHD patients'hos-pitalization rate and improve prognosis.