首页|血液透析患者透析过程中低血糖发生率及影响因素分析

血液透析患者透析过程中低血糖发生率及影响因素分析

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目的 通过分析维持性血液透析患者在透析时出现低血糖的影响因素,为预防低血糖发生提供参考.方法 采用便利抽样法,选取2022年6月1日-2023年5月31日期间规律血液透析320例患者,收集患者基本资料及病史、生化检查结果、患者用药依从性量表、自我管理能力量表等.对资料进行单因素分析以及多因素回归分析.结果 320例维持性血液透析患者,透析过程中发生低血糖组130例、非发生低血糖组190例,低血糖发生率40.62%.单因素分析结果表明,患者的BMI、年龄、文化程度、糖尿病病程、用药依从性、自我管理能力、糖化血红蛋白差异有统计学意义,P<0.05.多因素分析显示年龄、BMI、糖尿病病程、文化水平、用药依从性、自我管理能力是患者出现低血糖的主要影响因素,P<0.05.结论 维持性血液透析患者中高龄患者、低体重、糖尿病病程较长、文化水平偏低,自我照顾能力差的患者应制定相关预防措施,加强宣教,减少低血糖的发生.
Analysis of the Incidence and Influencing Factors of Hypoglycemia in Hemodialysis Patients During Dialysis
Objectives This study aims to provide a reference for preventing the occurrence of hypoglycemia by analyzing the influencing factors of hypoglycemia in maintenance hemodialysis patients during dialysis.Methods The convenience sampling method was used to select 320 patients with regular hemodialysis from June 1,2022 to May 31,2023.The patients'basic information and medical history,biochemical test results,medication compliance scale,self-management ability scale,etc.were collected.Single-factor analysis and multi-factor regression analysis were performed on the data.Results Among 320 maintenance hemodialysis patients,130 were in the hypoglycemia group and 190 were in the non-hypoglycemia group during dialysis.The incidence of hypoglycemia was 40.62%.The results of the factor analysis showed that there were statistically significant differences in patients'BMI,age,education level,duration of diabetes,medication compliance,self-management ability,and glycated hemoglobin(P<0.05).Multifactor analysis showed that age,BMI,duration of diabetes,educational level,medication compliance,and self-management ability were the main influencing factors for patients with hypoglycemia(P<0.05).Conclusions Maintenance hemodialysis patients are elderly,underweight,have a long duration of diabetes,and have a low educational level.Patients with poor self-care ability should develop relevant preventive measures and strengthen education to reduce the occurrence of hypoglycemia.

HemodialysisDiabetesHypoglycemiaAnalysis of influencing factorsMedication compliance

张庆来、张月

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首都医科大学附属北京朝阳医院,北京市,100020

血液透析 糖尿病 低血糖 影响因素分析 用药依从性

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(5)
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