血液透析患者贫血情况及影响因素调查

doi:10.3969/j.issn.1671-7171.2022.07.023

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Abstract 【Objective】 To investigate the anemia of hemodialysis patients in Qingdao Central Hospital and analyze its influencing factors. 【Methods】The clinical data of 353 patients who received maintenance hemodialysis for more than 3 months in our hospital were collected. According to the guidelines of the global renal disease prognosis Organization (KDIGO) for anemia diagnosis,the patients were divided into hemoglobin (Hb) standard group and Hb non standard group,and the related factors affecting Hb standard were discussed. 【Results】Among 353 hemodialysis patients,the rate of Hb reaching the standard was 43.63% (154/353),and the rate of Hb failing to reach the standard was 56.37% (199/353); Univariate analysis showed that there were significant differences in dialysis time,dialysis frequency,hematocrit,serum albumin,ferritin,transferrin saturation (TS),prealbumin,serum iron,C-reactive protein,creatinine and whole parathyroid hormone (iPTH) between the Hb standard group and the Hb non standard group (P<0.05). Logistic regression analysis showed that the independent influencing factors of anemia in hemodialysis patients included serum albumin,ferritin,TS,prealbumin,C-reactive protein,serum iron and iPTH. 【Conclusion】The failure rate of Hb in hemodialysis patients is high. The independent influencing factors include albumin,ferritin,TS,prealbumin,C-reactive protein,serum iron and iPTH; In the treatment of hemodialysis patients,we should increase the intake of protein,effectively control hyperparathyroidism,and give iron and anti-inflammatory treatment in time to prevent or control anemia.

Key words： Renal Dialysis Anemia/ET Root Cause Analysis

Received: 20 January 2022

PACS:

R692

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	Articles by authors
	BAI Nuo
	ZHANG Ming-di
	SUN Yan
	et al

Cite this article:

BAI Nuo,ZHANG Ming-di,SUN Yan, et al. Investigation on Anemia and its Influencing Factors in Hemodialysis Patients[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(7): 1044-1046.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.07.023 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I7/1044

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