内科

目的探讨维持性血液透析（MHD）老年患者肌肉减少症（肌少症）的发病情况及其发病的危险因素，为指导临床防治提供参考。方法选取2015 年4月至2020 年10月在广西江滨医院住院进行MHD治疗的老年患者280例作为以及对象，对患者进行相关的检测分析。结果共检测MHD老年患者280例，MHD老年患者肌少症的发病率为33.2%，男性患者的发病率为33.3%，女性患者的发病率为33.1%。单因素分析结果显示，肌少症组与非肌少症组MHD老年患者的年龄、血压水平、认知功能障碍情况、hs-CRP水平比较，差异均有统计学意义（P＜0.05）。多因素Logistic回归分析结果显示，年龄、高血压、认知功能障碍、hs-CRP水平是MHD老年患者发生肌少症的独立危险因素。结论维持性血液透析老年患者肌肉减少症的发病率较高，年龄、高血压、认知功能障碍、hs-CRP水平是维持性血液透析老年患者发生肌少症的独立危险因素。

ObjectiveTo explore the incidence and risk factors for sarcopenia in elderly patients with maintenance hemodialysis (MHD), to provide references for guiding clinical prevention and treatment. MethodsA total of 280 elderly patients who were hospitalized for MHD treatment in Jiangbin Hospital of Guangxi from April 2015 to October 2020 were selected as the research subjects, and related tests and analyses were conducted on patients. ResultsA total of 280 elderly patients with MHD were tested, and the incidence of sarcopenia in elderly patients with MHD was 33.2%, among which the incidence of male patients was 33.3%, whereas the incidence of female patients was 33.1%. The results of the univariate analysis showed that age, blood pressure level, cognitive dysfunction condition, and hs-CRP level of elderly patients with MHD between the sarcopenia group and the non-sarcopenia group were statistically significantly different (P＜0.05). Multivariate logistic regression analysis interpreted that age, hypertension, cognitive dysfunction, and hs-CRP level were independent risk factors for the onset of sarcopenia in elderly patients with MHD. ConclusionThe incidence of sarcopenia in elderly patients with MHD is relatively high. Age, hypertension, cognitive dysfunction, and hs-CRP level are independent risk factors for the onset of sarcopenia in elderly patients with MHD.