| Summary: | 碩士 === 義守大學 === 醫務管理學系 === 104 === As medical technology advances an increasing number of patients with chronic disease, and kidney disease also increased year by year, according to the 2014 Annual Statistical Taiwan kidneys, and in the choice of treatment modalities, primarily for hemodialysis and peritoneal dialysis, there is no way to cure unless receiving a kidney transplant, but the transplant complications and kidney source is not easy, so more than 90% of patients still must receive dialysis to sustain life.
Two kinds of peritoneal dialysis and hemodialysis, have advantages and disadvantages and conditions, the use of hemodialysis ratio to 2012 accounted for 89.7%, 10.3% ratio of peritoneal dialysis (kidney Taiwan 2014 Annual Report). Hemodialysis treatment to become the majority of patients with chronic uremia survival of dialysis patients arteriovenous fistula dysfunction directly dialysis effect is reduced, morbidity, mortality, hospitalization of patients are relatively increased.
This study was aimed to investigate an area hospital in Kaohsiung , hemodialysis patients with arteriovenous fistula factor analysis of the obstruction. Using chart review mode , the main risk factors to consider include Renkoutongji variables , disease-related variables and blood test variables , and arteriovenous fistula occlusion whether significant related variables , further analysis of smoking , diabetes, high blood pressure, type, vascular location , dialysis blood pressure, re-insert the number , HDL, LDL , etc., and arteriovenous fistula obstruction if there is significant meaning .
The results show that in Renkoutongji variables ( age, diabetes , hypertension, smoking ) , disease-related variables ( vascular species , vessel position , dialysis blood pressure ) and blood test values (Hb, Albumin, Ca, Cr related factors BMI) and other predictive of dialysis arteriovenous fistula occlusion have significant correlation . Expected to improve future arteriovenous fistula obstruction and reduce the rate of reconstruction , the rational use of resources and reduce health care costs consume more health care community . And measures to provide clinical care guidelines , and reference study on the future .
|
|---|
