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Analysis of related factors of hypotension in hemodialysis patients |
Yang Xiao, Chen Zengchao, Wang Lei. |
Department of Hemodialysis, Yuhuan Second People′s Hospital, Yuhuan 317605, China |
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Abstract Objective To explore and analyze the related influencing factors of hypotension in hemodialysis patients. Methods Totally 105 hemodialysis patients admitted to our hospital from October 2016 to September 2019 were selected as study subjects. According to whether hypotension occurred, they were divided into the observation group (hypotension) and the control group (nonhypotension), including 48 cases in the observation group and 57 cases in the control group. Retrospective analysis was used to compare the clinical data of the two groups of patients to analyze and summarize the related factors of hypotension in hemodialysis patients. Results The results of single factor analysis showed that age, body mass index, dialysis mode, ultrafiltration volume, ultrafiltration rate, hemoglobin, albumin,fasting blood glucose and PTH levels of hemodialysis patients were all influencing factors of hypotension in hemodialysis patients (P<0.05). Multifactor results showed that age ≥60 years old, ultrafiltration rate ≥2 000 mL, ultrafiltration volume ≥10 mL/min, fasting blood glucose ≥7.8 mmol/L and PTH≥400 pg/mL were risk factors for hypotension in hemodialysis patients (P<0.05), and albumin ≥25 g/L was a protective factor for hypotension in hemodialysis patients (P<0.05). Conclusion Older age, higher ultrafiltration rate, larger ultrafiltration volume, lower albumin, higher blood glucose and higher PTH level are risk factors for hypotension in hemodialysis patients.
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Received: 28 February 2020
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