Analysis of serum calcium,phosphate,hemoglobin levels and influencing factors in maintenance hemodialysis patients
10.3969/j.issn.1673-9701.2025.03.010
- VernacularTitle:维持性血液透析患者血清钙磷与血红蛋白水平及影响因素分析
- Author:
Fuzhou SUN
1
;
Yufang WANG
;
Zhiyan LI
;
Feng LI
;
Qingfang WANG
Author Information
1. 枣庄市立医院肾内科,山东枣庄 277100
- Publication Type:Journal Article
- Keywords:
Maintenance hemodialysis;
Serum calcium;
Serum phosphate;
Hemoglobin;
Influencing factors
- From:
China Modern Doctor
2025;63(3):40-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current status of serum calcium,phosphorus,and hemoglobin(Hb)levels in maintenance hemodialysis patients and identify related influencing factors.Methods Clinical data and related laboratory tests of maintenance hemodialysis patients were retrospective analyzed,clinical related indicators and target achievement rates among different serum calcium,phosphorus and Hb patients were analyzed,correlation and multiple linear regression analysis of serum corrected calcium,phosphorus and Hb and clinical indicators were performed.Results 217 maintenance hemodialysis patients,115(53.0%)cases were male,mean age was(55.88±13.54)years.The target achievement rates for serum corrected calcium,phosphorus,and Hb was 50.70%,24.00%,and 34.10%respectively.Multivariate linear regression analysis revealed that in maintenance hemodialysis patients,serum corrected calcium was independently positively correlated with bicarbonate and Hb;Serum phosphorus was independently positively correlated with creatinine,urea,and serum potassium,but negatively correlated with age;And Hb was independently positively correlated with total protein and serum corrected calcium,while being negatively correlated with C-reactive protein,β2 microglobulin,and parathyroid hormone.Conclusion The control target achievement rates for serum calcium,phosphorus,and Hb in maintenance hemodialysis patients at our center are low.Attention which should be paid to the related influencing factors of these indicators is beneficial to guide the control of complications and provide a reference for clinical disease management.