[1]杨 芳,柏晓玲,吴 娟,等.维持性血液透析患者自体动静脉内瘘狭窄危险因素的Meta分析[J].医学信息,2025,38(13):41-47.[doi:10.3969/j.issn.1006-1959.2025.13.008]
 YANG Fang,BAI Xiaoling,WU Juan,et al.Meta-analysis of Risk Factors for Stenosis of Autologous Arteriovenous Fistulain Maintenance Hemodialysis Patients[J].Journal of Medical Information,2025,38(13):41-47.[doi:10.3969/j.issn.1006-1959.2025.13.008]
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维持性血液透析患者自体动静脉内瘘狭窄危险因素的Meta分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年13期
页码:
41-47
栏目:
医学数据科学
出版日期:
2025-07-01

文章信息/Info

Title:
Meta-analysis of Risk Factors for Stenosis of Autologous Arteriovenous Fistulain Maintenance Hemodialysis Patients
文章编号:
1006-1959(2025)13-0041-07
作者:
杨 芳1柏晓玲2吴 娟1杨曾桢3郭世鸿1唐冰雪4
1.贵州中医药大学护理学院,贵州 贵阳 550000;2.贵州护理职业技术学院护理系,贵州 贵阳 550000;3.贵州省人民医院综合病房,贵州 贵阳 550000;4.遵义医科大学护理学院,贵州 遵义 563000
Author(s):
YANG Fang1 BAI Xiaoling2 WU Juan1 YANG Zengzhen3 GUO Shihong1 TANG Bingxue4
1.School of Nursing, Guizhou University of Traditional Chinese Medicine, Guiyang 550000, Guizhou, China; 2.Department of Nursing, Guizhou Nursing Vocational College, Guiyang 550000, Guizhou, China;3.Comprehensive Ward, Guizhou Provincial People’s Hospital, Guiyang 550000, Guizhou, China;4.School of Nursing, Zunyi Medical University, Zunyi 563000, Guizhou, China
关键词:
维持性血液透析患者自体动静脉内瘘狭窄危险因素
Keywords:
Maintenance hemodialysis patients Autologous arteriovenous fistula Narrow Risk factors
分类号:
R692.5
DOI:
10.3969/j.issn.1006-1959.2025.13.008
文献标志码:
A
摘要:
目的 系统评价维持性血液透析患者自体动静脉内瘘狭窄危险因素,以期为医护人员提供证据支持。方法 检索中国知网、维普、万方数据库、CBM、PubMed、Cochrane Library、Embase、Medline、Web of Science、CINAHL数据库,检索时限为建库至2023年10月14日。采用Review Manager5.4和Stata15软件进行Meta分析。结果 共纳入21篇文献,其中病例对照研究15篇,队列研究3篇,横断面研究3篇。Meta分析结果显示,维持性血液透析患者自体动静脉内瘘狭窄发生率为41.00%[95%CI(0.33,0.48),P<0.001];年龄≥60岁、合并糖尿病、中性粒细胞与淋巴细胞比值高、高密度脂蛋白胆固醇水平低、中性粒细胞弹性蛋白酶水平高、内瘘使用时间长、血清肌酐水平高、C反应蛋白水平高是自体动静脉内瘘狭窄的危险因素(P<0.05)。结论 维持性血液透析患者自体动静脉内瘘狭窄的发生率较高且发生发展受多种因素影响,医护人员可针对上述危险因素早期识别自体动静脉内瘘狭窄的高危人群并制定个性化干预方案,以提高维持性血液透析患者的生存质量。
Abstract:
Objective To systematically evaluate the risk factors of autologous arteriovenous fistula stenosis in maintenance hemodialysis patients, so as to provide evidence support for medical staff. Methods CNKI, VIP, Wanfang database, CBM, PubMed, Cochrane Library, Embase, Medline, Web of Science, CINAHL database were searched from inception to October 14, 2023. Meta-analysis was performed using Review Manager 5.4 and Stata 15 software. Results A total of 23 literatures were included, including 17 case-control studies, 3 cohort studies, and 3 cross-sectional studies. The incidence of autologous arteriovenous fistula stenosis in maintenance hemodialysis patients was 41.00%[95%CI(0.33, 0.48), P<0.001]; age≥60 years old, diabetes mellitus, high neutrophil-to-lymphocyte ratio, low high-density lipoprotein cholesterol level, high neutrophil elastase level, long use time of internal fistula, high serum creatinine level and high C-reactive protein level were risk factors for autogenous arteriovenous fistula stenosis (P<0.05). Conclusion The incidence of autogenous arteriovenous fistula stenosis in maintenance hemodialysis patients is high and its occurrence and development are affected by many factors. Medical staff can identify the high-risk groups of autogenous arteriovenous fistula stenosis early according to the above risk factors and develop personalized intervention programs to improve the quality of life of maintenance hemodialysis patients.

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更新日期/Last Update: 1900-01-01