Logistic regression analysis of risk factors for heart failure in hemodialysis patients

赵国忠; 陈晨; 黄赞维; 冯小兰; 瞿龙; 宋斌

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Logistic regression analysis of risk factors for heart failure in hemodialysis patients

更新时间：2026-01-09

- Logistic regression analysis of risk factors for heart failure in hemodialysis patients
- Journal of Army Medical University Vol. 30, Issue 19, Pages: 1855-1857(2008)
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  CLC： R195.4;R459.5;R541.6
- Published：2008
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赵国忠,陈晨,黄赞维,冯小兰,瞿龙,宋斌.维持性血透患者心力衰竭危险因素的Logistic回归分析[J].陆军军医大学学报(原第三军医大学学报),2008,30(19):1855-1857.

　ZHAO Guo-zhong,CHEN Chen,HUANG Zan-wei,FENG Xiao-lan,QU Long,SONG Bin.Logistic regression analysis of risk factors for heart failure in hemodialysis patients[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(19):1855-1857.
赵国忠,陈晨,黄赞维,冯小兰,瞿龙,宋斌.维持性血透患者心力衰竭危险因素的Logistic回归分析[J].陆军军医大学学报(原第三军医大学学报),2008,30(19):1855-1857. DOI：

　ZHAO Guo-zhong,CHEN Chen,HUANG Zan-wei,FENG Xiao-lan,QU Long,SONG Bin.Logistic regression analysis of risk factors for heart failure in hemodialysis patients[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(19):1855-1857. DOI：

摘要

目的探讨维持性血透患者发生心力衰竭的危险因素。方法回顾性分析145例维持性血透患者的临床资料，对照心衰组与非心衰组病例，用条件Logistic回归法分析心力衰竭发生与患者性别、年龄、肾衰竭基础病因等22项有关因素的相关性。结果单因素分析表明，与心力衰竭发生有关的因素有年龄、糖尿病肾病、高血压肾损害、透析总持续时间、每周促红素人均使用量、尿素清除指数（KT/V值）、高血压、低血红蛋白、低血清白蛋白、高血肌酐、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其他心脏器质性病变等。引入多因素Logistic回归方程的变量是年龄、糖尿病肾病、高血压肾损害、尿素清除指数、高血压、低血红蛋白、低血清白蛋白、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其它心脏器质性病变等。结论年龄、肾衰竭基础病因、透析不充分、高血压、低血红蛋白、低血清白蛋白、透析间期体重增加过快、并发感染、动静脉内瘘、并存有其他心脏器质性病变是维持性血透患者发生心力衰竭的危险因素。

Abstract

Objective To determine risk factors for heart failure in hemodialysis patients. Methods The relationship of heart failure with 22 parameters including sex

age

base disorders of kidney failure in 145 patients undergoing hemodialysis were analyzed by conditional logistic regression. Results Single parameter analysis indicated that heart failure was related with age

diabetic kidney disorder

hypertension-related kidney damage

time period of hemodialysis

dose of EPO usage per week

the ratio of KT/V

blood pressure

low Hb

low albumin

high level of SCR

body weight change

size of arteriovenous fistula

as well as other cardiac disorders. The parameters analyzed by multiparameter logistic regression included age

diabetic kidney disorder

hypertension-related kidney damage

the ratio of KT/V

blood pressure

low Hb

low albumin

body weight change

size of arteriovenous fistula

infection

as well as other cardiac disorders. Conclusion Age

the diseases causing kidney failure

insufficient hemodialysis

blood pressure

low Hb

low albumin

body weight change

infection

size of arteriovenous fistula and other cardiac disorders are risk factors for heart failure in maintenance hemodialysis patients.

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Department of Ultrasound

Department of Nephrology， Chongqing Traditional Chinese Medicine Hospital

Department of Ultrasound， the Second Affiliated Hospital of Chongqing Medical University

Department of Nephrology, First Affiliated Hospital, Army Medical University(Third Military Medical University)

School of Nursing, First Affiliated Hospital, Army Medical University(Third Military Medical University)

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