英文摘要 |
Background: Peripheral arterial disease (PAD) is often neglected in usually person and undergoing hemodialysis patients. If PAD patients do not receive proper care, they run greater risks of heart disease, stroke, and amputation. Hemodialysis patients are high-risk population of PAD. The similar studies in Taiwan before which just only conducted in one hospital. Researchers invited three hospitals to join this study and enlarge sample size for deeply explore this issue. Objects: The purposes of this study are to evaluate the prevalence of PAD among dialysis patients and to analyze the correlations between PAD and risk factors (such as demographic characteristics, clinical biochemical values and life habits). Methods: Total of 275 regular hemodialysis patients which selected from three hospitals participated in this study. Data were collected by a constructed questionnaire which included information on demography, past history and life habits. Researchers also collected clinical biochemical data by patient record. The diagnosis criteria of PAD is ankle-brachial index (ABI) <0.9. Results: The prevalence rate of PAD among dialysis patients was 16.9%. The mean age of PAD patients are older than non-PAD patients (69.2 vs 59.8). These PAD patients suffer for any one chronic disease, diabetes mellitus, and coronary heart disease were 95.6%, 66.7%, and 37.8%, respectively. Above three prevalence rates of PAD patients were higher than non-PAD patients (73.4%, 26.6% and 8.6%, respectively). Multiple logistic regressions analysis showed that age, diabetes mellitus, and coronary heart disease are risk factors of PAD. Additionally, the more urea nitrogen concentration on pre-dialysis stage revealed less odd on PAD. Conclusions: The prevalence rate of PAD among dialysis patients in this study was less than most of foreign study. This study also finds that age, diabetes mellitus, cardiovascular diseases, and urea nitrogen concentration on pre-dialysis stage are significantly related to PAD. |