终末期肾病血液透析干预期伴发抑郁的危险因素研究

Risk factors for dry heart failure in patients with end-stage renal disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

河南省平顶山市第一人民医院 ;

摘要
摘要:观察终末期肾病(ESRD)血液透析干预期伴发抑郁的危险因素。方法 纳入2013年6月至2017年6月于我院收治的150例ESRD血液透析患者为研究对象,开展回顾性分析。统计患者一般资料、病理学资料,按照血液透析干预期抑郁发生情况将其分为抑郁组与非抑郁组,采用多因素Logistic回归分析法分析ESRD血液透析干预期伴发抑郁的独立影响因素。结果 150例患者血液透析干预期有48例发生抑郁,发生率为32.00%。单因素分析结果显示,ESRD血液透析干预期伴发抑郁与性别、年龄、婚姻状态、文化程度、是否吸烟、是否饮酒、有无高血压并发症、有无糖尿病并发症、月透析次数、血管通路方式、有无透析并发症、透析充分性、蛋白分解代谢率无明显相关性(P>0.05),与工作状态、个人收入、心血管并发症、脑血管并发症、内瘘手术次数、血红蛋白、血清白蛋白、血尿酸有明显相关性(P<0.05)。多因素Logistic回归分析显示,个人收入、心脑血管并发症、内瘘手术次数、血红蛋白、血清白蛋白是ESRD血液透析干预期伴发抑郁的独立影响因素(P<0.05)。结论 ESRD血液透析干预期易发抑郁,个人收入低、伴有心脑血管并发症、内瘘手术次数多及血红蛋白、血清白蛋白异常都促进了ESRD血液透析患者抑郁的发生,临床应引起足够重视。
Abstract
Abstract:Objective In order to observe the risk factors of end stage renal disease (ESRD) expected to accompany depression in hemodialysis patients.Methods 150 ESRD hemodialysis patients who were admitted to our hospital from June 2013 to June 2017 were enrolled in this study.The general data and pathological data of patients were divided into depression group and non depression group according to the expected depressive condition of hemodialysis dry, and the independent factors of the expected associated depression in ESRD hemodialysis dry were analyzed by multiple factor Logistic regression analysis.Results In 150 patients, 48 cases of hemodialysis were found to have depression, the incidence was 32%.Single factor analysis results showed that ESRD hemodialysis intervention period with depression and gender, age, marital status, educational level, smoking, drinking, do you have any complications of hypertension, diabetes complications, on dialysis, vascular access ways, presence of complications, the dialysis adequacy of dialysis, protein catabolic rate (P>0.05), no obvious correlation with the working status, personal income, cardiovascular complications, cerebrovascular complications, internal fistula operation times, hemoglobin, serum albumin, blood uric acid have significant correlation (P<0.05).Multiple factor Logistic regression analysis showed that personal income, cardiovascular and cerebrovascular complications, the number of internal fistula operations, hemoglobin, and serum albumin were independent factors for the expected associated depression in ESRD hemodialysis dry (P<0.05).Conclusion ESRD hemodialysis is expected to be prone to depression, low personal income, complications of cardiovascular and cerebrovascular diseases, more times of internal fistula operation and abnormal hemoglobin and serum albumin promote the occurrence of depression in patients with ESRD hemodialysis, which should be paid enough attention to.
关键词
关键词:终末期肾病;血液透析;;抑郁;危险因素
KeyWord
Keywords: End stage renal disease; Hemodialysis; Depression; Risk factors.
基金项目
页码 133-137
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王林风*. 终末期肾病血液透析干预期伴发抑郁的危险因素研究 [J]. 国际精神病学杂志. 2020; 47; (1). 133 - 137.

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2022-11-01 10:45:38

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