The relationship between phase angle and poor prognosis in patients with maintenance hemodialysis
10.3760/cma.j.cn115682-20220516-02340
- VernacularTitle:维持性血液透析患者相位角与不良预后的关系
- Author:
Ang LI
1
;
Fei CHEN
;
Yi WANG
Author Information
1. 首都医科大学附属北京友谊医院医疗保健中心透析室,北京 100050
- Keywords:
Maintenance hemodialysis;
Phase angle;
Nutrition;
Cardiocerebrovascular diseases;
Prognosis
- From:
Chinese Journal of Modern Nursing
2023;29(11):1508-1512
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between phase angle and poor prognosis in patients with maintenance hemodialysis (MHD) .Methods:From April 2020 to December 2021, 223 MHD patients in Beijing Friendship Hospital, Capital Medical University were selected as the research objects by the convenience sampling method. Phase angle was measured by bioresistance impedance body component analysis. MHD patients were divided into the normal phase angle group and the low phase angle group. General data, laboratory indicators, infection, cardiovascular and cerebrovascular disease (CVD) and death were compared between the two groups. Kaplan-Meier method and Log-Rank test were used to compare the prognosis differences between the two groups.Results:The body mass index, prealbumin, albumin and total cholesterol of patients in the low phase angle group were lower than those of the normal phase angle group, and the proportion of diabetic nephropathy patients was higher than that of the normal phase angle group, and the differences were statistically significant ( P<0.05). The incidence of infection, CVD and death in the low phase angle group were higher than those of the normal phase angle group, the survival time at the end point of poor prognostis events in the low phase angle group were shorter than those of the normal phase angle group, and the differences were statistically significant ( P<0.05) . Conclusions:Low phase angle is common in MHD patients. The nutritional status of low phase angle patients is worse, and the incidence of infection, CVD and death is higher, and the prognosis is worse.