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目的:了解非糖尿病腹膜透析患者外周动脉疾病(PAD)的患病率及其主要危险因素。方法:选取北医三院肾内科腹膜透析中心患者为研究对象,对153例非糖尿病腹膜透析患者测定踝臂指数(ABI),并收集相关影响因素的资料,进行logistic回归分析。结果:非糖尿病腹膜透析患者中,38例ABI异常,PAD患病率为24.8%(38/153例),平均ABI为0.68±0.19。Logistic回归分析发现,年龄、大动脉僵硬度、HDL-C是影响非糖尿病腹膜透析人群外周动脉硬化的主要因素。结论:年龄、大动脉僵硬度、HDL-C是PAD的独立危险因素。
Objective: To understand the prevalence and major risk factors of peripheral arterial disease (PAD) in non-diabetic peritoneal dialysis patients. Methods: The data of 153 patients with peritoneal dialysis of non-diabetic peritoneal dialysis patients were collected and analyzed by logistic regression analysis. RESULTS: Among the nondiabetic peritoneal dialysis patients, 38 had abnormal ABI and the prevalence of PAD was 24.8% (38/153). The mean ABI was 0.68 ± 0.19. Logistic regression analysis found that age, arterial stiffness, and HDL-C were the major factors affecting perivascular atherosclerosis in nondiabetic peritoneal dialysis patients. Conclusion: Age, arterial stiffness and HDL-C are independent risk factors for PAD.