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目的:分析慢性肾功能衰竭患者血液透析期间心律失常的相关因素。方法:选择本院43例慢性肾功能衰竭血液透析患者,总结分析透析期间心律失常类型及相关因素。结果:43例患者行血液透析1146次,共发生心律失常326次(28.45%),且65.94%心律失常发生于透析开始后2～4h。随着年龄增长,心脏损害并发症增多,血清K+浓度增高,透析中心律失常的发生率也随之增加。不同年龄段患者间比较差异有统计学意义(P<0.05)。结论:慢性肾功能衰竭血液透析患者心律失常的发生随年龄、并发症、血清K+浓度增加而增加。
Objective: To analyze the related factors of arrhythmia during hemodialysis in patients with chronic renal failure. Methods: A total of 43 patients with chronic renal failure who underwent hemodialysis were enrolled in this study. The types of arrhythmias and related factors during dialysis were analyzed. RESULTS: Thirty-four patients underwent hemodialysis 1146 times with a total of 326 arrhythmias (28.45%), and 65.94% arrhythmias occurred 2 to 4 hours after dialysis. With age, complications of heart damage increased, serum K + concentration increased, the incidence of dialysis arrhythmia also increased. There were significant differences among different age groups (P <0.05). Conclusion: The incidence of arrhythmia in hemodialysis patients with chronic renal failure increases with age, complications and serum K + concentration.