中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (01): 62-65.doi: 10.3969/j.issn.1671-4091.2021.01.15

• 血管通路 • 上一篇    下一篇

我国终末期肾病患者首次透析动静脉内瘘使用率的Meta 分析

王慧1,黄丽璇2,吕桂兰3   

  1. 1南京大学医学院附属金陵医院(东部战区总医院)国家肾脏疾病临床医学研究中心 全军肾脏病研究所

  • 收稿日期:2020-07-20 修回日期:2020-11-04 出版日期:2021-01-12 发布日期:2021-01-07
  • 通讯作者: 吕桂兰 2271500539@qq.com E-mail:2271500539@qq.com
  • 基金资助:
    战时连续性血液净化治疗血管通路的快速建立及护理(2017084)

The utilization of internal arteriovenous fistula at the beginning of hemodialysis in end-stage renal disease patients in China: a meta analysis

  1. 1Department of Nephrology, Jinling Hospital Affiliated to Medical College of Nanjing University, Nanjing 210002, China
  • Received:2020-07-20 Revised:2020-11-04 Online:2021-01-12 Published:2021-01-07

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摘要： 【摘要】目的采用Meta分析的方法，评价我国终末期肾病(end stage of renal disease,ESRD)患者首次透析动静脉内瘘(arteriovenous fistulas，AVF)使用率，为有效的干预措施提供科学依据。方法检索中英文数据库，筛选出符合要求的文献18 篇，采用单组率Meta 分析，使用Stata12SE 进行统计。结果共纳入18 篇观察性研究，共有4738 名患者，其中首次透析使用动静脉内瘘的患者795 例。Meta 分析结果显示：我国终末期肾病患者首次透析动静脉内瘘使用率的合并值为18.0%(ES=0.180,95%CI:0.139～0.220，P＜0.001)。结论终末期肾病患者首次透析动静脉内瘘使用率低，对终末期肾病患者应尽早干预，提高首次透析动静脉内瘘使用率。

关键词: 终末期肾病, 动静脉内瘘, 使用率, meta 分析

Abstract: 【Abstract】Objective The utilization of internal arteriovenous fistula (AVF) from the beginning of hemodialysis in end-stage renal disease (ESRD) patients was evaluated by using a meta analysis in order to provide scientific bases for the improvement of intervention measures. Methods We searched the Chinese and English databases. A total of 18 articles were found to meet the requirements. One-group rate meta-analysis was adopted, and Stata 12SE was used for statistical analysis. Results In the 4,738 patients included in the 18 observational studies, 795 patients used AVF from the beginning of hemodialysis. Meta analysis results showed that the combined rate of AVF from the beginning of hemodialysis in Chinese ESRD patients was 18.0% (95% CI=13.9～22.0%). Conclusion The utilization rate of AVF from the beginning of hemodialysis was lower in Chinese ESRD patients. Therefore, intervention should be carried out as early as possible to increase the rate of using AVF at the beginning of hemodialysis.

Key words: End stage of renal disease, Arteriovenous fistulas, Utilization rate, Meta analysis

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