Congnitive dysfunction in patients with maintenance hemodialysis and the correlation of pulse pres-sure

ZHONG Chunmei; LIAO Changbin; LI Zhengliang

Abstract：Objective:On patients with maintenance hemodialysis(MHD)cognitive dysfunction(CI)and the correlation of pulse pressure(PP). Methods:In the hospital,120 cases of dislysis patients,the Montreal cognitive assessment(MoCA)line of cognitive function score,divided the patients into CI group or the CI - free groups,pulse pressure detecting various patients, cross - sectional survey fixed number of year of the age,gender,education,complications or complications,age of dialysis and other clinical data. To compare data analysis of two groups. Results:All 68 cases of CI,the rate of 56. 7% . There is no differ-ence with gender and age of dialysis of two groups patients(P ﹥ 0. 05),Age,pressing of arteries and veins in CI group was ob-viously greater than CI - free group,(P ﹤ 0. 05),in CI group education years shouter than CI - free group(P ﹤ 0. 05),hyper-tension,diabetes,coronary heart disease in CI group of was 37. 2% ,significantly higher than CI - free group(P ﹤ 0. 05). In 68 patients with CI,pulse pressure and negatively correlated with MoCA score(P ﹤ 0. 05). Logistic regression analysis showed that age,by education years,complications,pulse pressure is the independent risk factors for the development of CI MHD patients. Conclusion:Pulse pressure in patients with maintenance hemodialysis on the high side,and the occurrence of cognitive dysfunc-tion in patients with one of the important risk factors.