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维持性血液透析血管通路抗凝治疗多中心流行病学分析 预览

Multicenter Epidemiological Analysis of Anticoagulant Therapy for Maintenance Hemodialysis Vascular Access
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摘要 目的对维持性血液透析血管通路抗凝治疗多中心流行病学进行研究分析。方法选择在我院(2012年至2016年)接受血液透析治疗的患者(1000例)为研究对象,统计血液透析患者的发病病因组成以及新进入血液透析患者的血管通路情况。结果通过统计血液透析患者的发病病因组成发现,患者的发病原因主要包括慢性肾小球肾炎、肾小管间质疾病、糖尿病肾病、梗阻性肾病、高血压肾损害、狼疮性肾炎以及多囊肾病;通过统计新进入血液透析患者的血管通路情况发现,血液透析患者血管通路的主要方式有自体内瘘、半永久中心静脉管以及临时中心静脉置管,没有出现人工移植血管的情况。结论制定出合适的抗凝方案对于维持性血液透析血管通路抗凝治疗的患者具有非常重要的意义。 Objective To study and analyze the multicenter epidemiology of maintenance hemodialysis vascular access anticoagulation therapy.Methods Patients(1 000 patients)who underwent hemodialysis in our hospital(2012~2016)were selected as subjects to analyze the etiology of hemodialysis patients and the vascular access of new hemodialysis patients.Results Through the statistical analysis of the etiology and composition of hemodialysis patients,the causes of the patients mainly include chronic glomerulonephritis,tubulointerstitial disease,diabetic nephropathy,obstructive nephropathy,hypertensive renal damage,lupus nephritis and polycystic kidney disease;By counting the vascular access of new hemodialysis patients,it was found that the main methods of vascular access in hemodialysis patients were autologous internal hemorrhoids,semi-permanent central venous tubes,and temporary central venous catheters,and there were no cases of artificial grafts.Conclusion The development of a suitable anticoagulant regimen is of great importance for patients undergoing anticoagulant therapy for maintenance hemodialysis vascular access.
作者 冷彦飞 李磊 王学鹏 王若霜 LENG Yan-fei;LI Lei;WANG Xue-peng;WANG Ruo-shuang(Department of Nephrology,First People's Hospital of Liangshan Prefecture,Liangshan,615000,China)
出处 《血栓与止血学》 2019年第2期231-233,共3页 Chinese Journal of Thrombosis and Hemostasis
关键词 血液透析 抗凝药物 血管通路 Hemodialysis Anticoagulant Vascular access
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