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相關文獻
- Associated Risk Factors for Abnormal Ankle-brachial Index in Hemodialysis Patients in a Hospital
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- Prevalence and Correlation Factors of Peripheral Arterial Disease in Hemodialysis Patients Defined by Ankle-Brachial Index (ABI)
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題名 | Associated Risk Factors for Abnormal Ankle-brachial Index in Hemodialysis Patients in a Hospital=探討一醫院血液透析病人不正常踝臂血壓比的相關危險因子 |
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作 者 | 陳思嘉; 蘇河名; 麥秀琴; 陳瑞忻; 陳秋月; 張哲銘; 陳鴻鈞; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 24:9 2008.09[民97.09] |
頁次 | 頁473-480 |
分類號 | 415.816 |
關鍵詞 | 踝臂血壓比; 血液透析; 周邊動脈疾病; Ankle-brachial index; Hemodialysis; Peripheral artery disease; |
語文 | 英文(English) |
中文摘要 | 踝臂血壓比可做為周邊動脈疾病的指標,且可用來預測血液透析病人的死亡率。但在高末期腎臟病盛行率的南台灣卻鮮少探討。此篇文章即探討一醫院血液透析病人周邊動脈疾病的盛行率及相關危險因子。除了 6 個病人拒絕及 4 個心房顫動的病人,我們收集了一間區域醫院所有常規血液透析病人,共 225 個病人。我們以 ABI-form (Colin VP 1000) 的儀器來為病人測量踝臂血壓比。踝臂血壓比 < 0.9 及 ≥ 1.3 的盛行率分別為 15.6% 及 5.8%。年紀較大 (p = 0.027),脈壓增大 (p = 0.005)、血比容增加 (p = 0.008) 及白蛋白降低 (p = 0.009) 與踝臂血壓比 < 0.9 呈有意義相關。另外,糖尿病則與踝臂血壓比 ≥ 1.3 有相關 (p = 0.019)。本篇文章提供在一醫院血液透析病人周邊動脈疾病的相關危險因子。其年紀較大,脈壓較高,血比容較高及白蛋白降低為踝臂血壓比 < 0.9 的危險因子,而糖尿病則為踝臂血壓比 ≥ 1.3 的危險因子。 |
英文摘要 | Ankle-brachial index (ABI) is a marker for peripheral artery disease and can predict mortality in hemodialysis patients. However, it is seldom studied in southern Taiwan, an area with high prevalence of end-stage renal disease (ESRD). The aim of this study was to investigate the prevalence and associated risk factors for peripheral artery disease in the ESRD population in a hospital. All routine hemodialysis patients in one regional hospital were included except for six patients who refused ABI examinations and four patients with atrial fibrillation. Finally, 225 patients formed our study group. ABI was measured using an ABI-form device (Colin VP1000). The prevalence of ABI < 0.9 and ≥ 1.3 was 15.6% and 5.8%, respectively. ABI < 0.9 was independently associated with advanced age (p = 0.027), increased pulse pressure (p = 0.005), increased hematocrit (p = 0.008) and decreased serum albumin level (p = 0.009). In addition, ABI ≥ 1.3 was significantly associated with diabetes mellitus (p = 0.019). This study demonstrated the associated risk factors of peripheral artery disease in patients with hemodialysis in a hospital. ESRD patients of advanced age and with increased pulse pressure, increased hematocrit and decreased serum albumin level had a relatively high risk for ABI < 0.9 and patients with diabetes had a relatively high risk for ABI ≥ 1.3. |
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