多囊肾患者贫血现况的调查及其分析

    Investigation and analysis of anemia incidence in patients with polycystic kidney disease

    • 摘要: 目的 了解多囊肾(polycystic kidney disease,PKD)患者的贫血状况及其发生贫血的相关危险因素。方法 收集2017年9月至2019年10月在上海中医药大学附属曙光医院肾病科就诊的共161例PKD患者的临床资料,调查PKD患者贫血患病率,并对贫血发生的危险因素进行统计学分析。结果 161例PKD患者的贫血率达70.81%。而不同年龄层中,年龄<30岁、30~50岁、50~70 岁、>70岁患者贫血率分别是40.00%、53.62%、86.42%、83.33%;慢性肾脏病(CKD)1~5期患者贫血率分别为20.00%、57.14%、49.06%、86.49%、97.87%(P<0.01);CKD5期中透析组与非透析组贫血率分别为93.75%、100.00%;单因素分析显示,年龄、CKD分期、透析与贫血发生率相关,多因素Logistic回归分析提示仅CKD分期与贫血发生率有显著相关性(P<0.001)。结论 PKD患者贫血情况随着肾功能的进展而加重,故应重视,在CKD早期应加强干预并及时治疗。

       

      Abstract: Objective To investigate the incidence of anemia in patients with polycystic kidney disease (PKD) and its risk factors. Methods Clinical data of 161 PKD patients visiting in Department of Nephrology of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from September 2017 to October 2019 were collected, the prevalence of anemia in PKD patients was investigated, and the risk factors of anemia were statistically analyzed. Results The incidence rate of anemia in 161 PKD patients was 70.81%. In different age groups, the anaemia rates of patients at the ages below 30, between 30~50, between 50~70 and above 70 were 40.00%, 53.62%, 86.42% and 83.33%,respectively. The anaemia rates of patients with chronic kidney disease (CKD) stage 1~5 were 20.00%, 57.14%, 49.06%, 86.49% and 97.87%,respectively (P<0.01). The anemic rates of dialysis group and non-dialysis group at CKD5 stage were 93.75% and 100.00% respectively. Univariate analysis showed that age, CKD stage and dialysis were correlated with the incidence of anemia, while multivariate Logistic regression analysis indicated that only CKD stage was significantly correlated with the incidence of anemia (P<0.001).Conclusions Anemia in patients with PKD is aggravated with the progression of renal function damage. Therefore, enhanced intervention and timely treatment should be performed at the early stage of CKD.

       

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