首页|糖尿病合并尿毒症血液透析患者低血糖发生的危险因素分析

糖尿病合并尿毒症血液透析患者低血糖发生的危险因素分析

Analysis of Risk Factors for the Occurrence of Hypoglycemia in Hemodi-alysis Patients with Diabetes Mellitus Combined with Chromic Renal Fail-ure

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目的 分析糖尿病(Diabetes Mellitus,DM)合并尿毒症(Chromic Renal Failure,CRF)血液透析患者低血糖发生的危险因素.方法 随机选取2021年1月—2023年1月晋江市医院收治的82例DM合并CRF血液透析患者为研究对象,按照是否存在低血糖现象分为发生组(n=27)和未发生组(n=55).利用调查问卷收集患者的临床资料、用药依从性和家庭照顾者的照顾能力并进行单因素以及Logistic多因素分析.结果 两组患者年龄、体质指数、DM病程、用药依从性、照顾能力对比,差异有统计学意义(P均<0.05);Logistic回归分析结果显示,年龄、体质指数、用药依从性、DM病程、照顾能力均为DM合并CRF血液透析患者发生低血糖的独立危险因素(P均<0.05).结论 年龄、体质指数、DM病程、用药依从性、照顾能力为DM合并CRF血液透析患者发生低血糖的危险因素.
Objective To analyze the risk factors of hypoglycemia in hemodialysis patients with diabetes mellitus(DM)combined with chromic renal failure(CRF).Methods A total of 82 patients of DM combined with CRF received hemodialysis admitted to Jinjiang Hospital from January 2021 to January 2023 were randomly selected as the study ob-jects,and they were divided into the occurrence group(n=27)and the non-occurrence group(n=55)according to the occurrence of hypoglycemia.Questionnaires were used to collect the clinical data,the compliance of taking medicine and the caring ability of their family,univariate analysis as well as Logistic multifactorial analyses were performed.Results The age,body mass index,duration of DM,medication adherence,and care giving ability between the two groups were compared,and the differences were statistically significant(all P<0.05).Logistic multifactorial analysis suggested that body mass index,age,medication adherence,duration of DM,and care giving ability were independent risk factors of the incidence of hypoglycemia in DM combined with CRF patients treated with hemodialysis(all P<0.05).Conclusion Age,body mass index,DM duration,medication adherence,and care giving ability are all risk fac-tors of the incidence of hypoglycemia in DM combined with CRF patients treated with hemodialysis.

Diabetes mellitusChromic renal failureHemodialysisHypoglycemiaRisk factorsLogistic multifacto-rial

陈宝贵、李诗婷、许逸霜

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晋江市医院(上海市第六人民医院福建医院)急诊科,福建晋江 362200

DM CRF 血液透析 低血糖 危险因素 Logistic多因素

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(5)
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