陈秋萍　冯永民　冯德辉　黄柳涛

【摘要】 目的：调查分析老年尿毒症血液透析患者的住院原因及相关因素。方法：回顾性分析2016年1月-2017年12月在本院行MHD治疗的尿毒症患者的临床资料，根据是否住院将其分为住院组和非住院组。分析患者的原发病、住院原因、导致患者住院的相关危险因素。结果：122例老年尿毒症血液透析患者中有81例住院治疗；住院患者的主要原发病分别是良性小动脉性肾硬化症和糖尿病肾病，主要原因分别是肺部感染和心血管疾病；住院组血肌酐（Scr）、白蛋白（ALB）水平均低于非住院组（P<0.05），且Logistic回归分析结果显示，低Scr、低ALB是老年尿毒症患者住院的相关危险因素（P<0.05）。

结论：肺部感染和心血管疾病是导致老年尿毒症血液透析患者住院的主要原因，低Scr、低ALB水平是老年尿毒症患者住院的相关危险因素，临床应对此加以重视。

【关键词】 老年； 尿毒症； 血液透析； 住院

Cause of Hospitalization and Its Related Risk Factors in Elderly Uremic Hemodialysis Patients/CHEN Qiuping，FENG Yongmin，FENG Dehui，et al.//Medical Innovation of China，2018，15（27）：-123

【Abstract】 Objective：To analyze the cause of hospitalization and its related risk factors in elderly uremic hemodialysis patients.Method：The clinical data of uremic patients treated with MHD in our hospital from January 2016 to December 2017 were retrospectively analyzed，according to whether they were hospitalized，they were divided into hospitalization group and non hospitalized group.The incidence of primary diseases，causes of hospitalization and related risk factors of hospitalization were analyzed.Result：81 cases of the 122 elderly uremic hemodialysis patients were hospitalized.The main protopathy of hospitalization patients were benign arterial renal sclerosis and diabetic nephropathy，the main cause of hospitalization were pulmonary infection and cardiovascular diseases.The levels of serum creatinine（Scr） and albumin（ALB） in hospitalization group were lower than those of non hospitalized group（P<0.05）.Logistic regression analysis showed that low levels of Scr and ALB were risk factors for hospitalization of elderly uremic patients（P<0.05）.Conclusion：Pulmonary infection and cardiovascular disease are the main causes of hospitalization in elderly uremic patients undergoing hemodialysis，low levels of Scr and ALB are the risk factors for hospitalization in elderly uremic patients，and clinical attention should be paid to this.

【Key words】 Elderly； Uremia； Hemodialysis； Hospitalization

First-authors address：Affiliated Hospital of Guangdong Medical University，Zhanjiang 524001，China

doi：10.3969/j.issn.1674-4985.2018.27.032

維持性血液透析（maintenance hemodialysis，MHD）是尿毒症患者治疗的重要手段[1-2]，随着人口老龄化及血液透析技术的不断发展，接受MHD治疗的老年尿毒症患者也日益增长[3-4]，长期的血液透析所出现的严重并发症可能会导致老年尿毒症患者需要住院治疗。为此，本文对2016年1月-2017年12月本院老年尿毒症血液透析患者住院原因及相关危险因素进行分析，现报道如下。

1 资料与方法

1.1 一般资料 回顾性分析2016年1月-2017年

12月在本院行MHD治疗的尿毒症患者的临床资料。纳入标准：年龄均≥60岁；均符合慢性肾脏病5期的诊断标准；均进行3个月以上的MHD治疗。排除标准：临床资料不完整的MHD治疗患者。本研究已获得本院医学伦理委员会批准并获得患者的知情同意。……