Analysis of influencing factors on hemoglobin concentration in maintenance hemodialysis patients

Abstract

Objective To explore the influencing factors on hemoglobin （ HB ） concentration in maintenance hemodialysis patients .Methods The total eating amount , diet structure and recombinant human erythropoietin （EPO） in 89 maintenance hemodialysis patients were collected , and the HB concentration in patients was analyzed .Results The HB concentrations in patients who ate the percentage of meat dish 〉60%, 30%-60%,〈30%were respectively （103.2 ±30.36）, （96.96 ±25.24）, （103.76 ±16.49）g/L, and the difference was not statistically significant （F=2.269,P〉0.05）.The HB concentrations in patients who ate total eating amount 〉1 500 g, 800-1 500 g, 〈800 g were respectively （118.36 ±22.82）, （99.96 ±18.28）, （83.03 ±14.22） g/L, and the difference was statistically significant （F =11.986,P 〈0.01）, and the differences were also found in the multiple comparison （P〈0.01）.No difference was found in the EPO amount of patients with different total eating amount （P〉0.05）.Conclusions The total eating amount in patients has a strong influence on the HB concentration , and there are similar effects of meat and vegetable dish on the HB concentration.The anemia can be improved by the use of EPO combined with diet therapy in hemodialysis patients. Key words: Hemodialysis; Hemoglobin; Erythropoietin; Diet structure; Total eating amount