摘要
目的了解维持性血液透析（HD）患者的骨折情况，探讨发生骨折的影响因素。方法对160例维持性HD患者进行跟踪调查，评估骨折发生情况，分析骨折影响因素。结果5年内160例患者中有32例发生过骨折，发生率20．0％；老年、女性、透析月份长、肾移植史、跌倒史、行走需要协助、血钙磷乘积、甲状旁腺素、服用精神类药物等是发生骨折的重要影响因素（P〈0．05或P〈0．01）。结论HD患者发生骨折的危险性高，应重点做好老年、女性、透析月份长、行走需要协助、有肾移植史、有跌倒史等患者的护理。
Objective To study the risk factors for fractures among hemedialysis patients. Methods 160 patients who received maintenance hemodialysis in our center had been followed from January of 2003 to December of 2007. Fractures were identified and the schedule of dialysis, laboratory values and medications were recorded. Results A total of 32 bone fratures occurred in 160 patients. Associated risk factors included age, sex, years on hemodialysis, cumulative time on hemofiltration per week, prior renal transplant, history of medications, needs assistance to walk, serum calcium, phosphorus, Hb, PTH and B2-mieroglobulin. Conclusions Two main mechanisms may account for the increased fracture risk in HD patients： either a lower resistance of bone after relatively minor traumas or an increased propensity to falls. We should pay much attention to the patients with older age, female gender, longer cumulative time on HD, needs assistance to walk, a history of falls and higher PTH level.
出处
《中华现代护理杂志》
2009年第12期1112-1114,共3页
Chinese Journal of Modern Nursing
关键词
血液透析
骨折
危险因素
Hemodialysis
Fractures
Risk Factors
