尿毒症腹膜透析患者骨质疏松及危险因素
Risk factor analysis of osteoporosis in patients on peritoneal dialysis
  
DOI:10.3969/j.issn.1006-7108.2015.06.018
中文关键词:  骨质疏松  骨密度  腹膜透析
英文关键词:Osteoporosis  Bone mineral density  Peritoneal dialysis
基金项目:
作者单位
姜林森 冯胜 卢颖 宋锴 沈华英* 苏州大学第二附属医院肾内科江苏苏州 215000 
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中文摘要:
      目的 通过分析患者的临床随访数据,探讨已规律行腹膜透析的尿毒症患者骨质疏松的患病率及相关危险因素。方法 本研究纳入了260例规律行腹膜透析6月以上的尿毒症患者,记录患者一般资料和生化指标,测定骨密度判断是否为骨质疏松,并对可能影响骨质疏松的危险因素进行单因素分析和Logistic多因素回归分析。结果 骨质疏松者128例(49.2%),骨质疏松的发生与性别(OR=5.086,P=0.001)、年龄(OR=2.783,P=0.017) 、透析龄(OR=2.145,P=0.021)、糖尿病(OR=1.684,P=0.029)显著相关,与体重指数、抗酒石酸酸性磷酸酶-5b、全段甲状旁腺素、血钙、磷、钙磷乘积、碱性磷酸酶、尿素清除指数、白蛋白、血脂等无显著相关性( P>0.05)。结论 腹膜透析患者骨质疏松的患病率较一般人群高,性别、年龄、透析龄、糖尿病是其危险因素。
英文摘要:
      Objective This study aims to investigate potential risk factors of osteoporosis (OP) in patients on the maintenance of peritoneal dialysis (MPD). Methods We enrolled 260 MPD patients, who underwent dialysis in our dialysis center for over 6 months. Bone mineral density was detected and the biochemical data and dialysis-related indicators were recorded. These results were analyzed and logistic regression analysis was performed to identify the risk factors of osteoporosis. Results Among the 260 enrolled MPD patients, 128 patients had osteoporosis (49.2%). Multivariate logistic regression analysis revealed that gender (OR=5.086, P=0.001), age (OR=2.783, P=0.017), dialysis age (OR=2.145, P=0.021), and diabetes history (OR=1.684, P=0.029) were independently related to OP, while BMI, Tartrate-resistant acid phosphatase 5b, Serum iPTH, calcium (Ca), phosphorus (P), CaP, alkaline phosphatase (AKP), Kt/v, albumin (ALB), total cholesterol (TC), and triglyceride (TG) were not correlated with OP. Conclusion The incidence of OP is higher in MPD patients than in normal people. Gender, age, dialysis age, and diabetes history are risk factors.
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