Volume 23 Issue 8
Aug.  2025
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HAN Shu, DAI Rong, XIE Weinan, WANG Baojia, DI Jiamei. Analysis of PTH compliance and related influencing factors in MHD patients in Huainan area[J]. Chinese Journal of General Practice, 2025, 23(8): 1298-1302. doi: 10.16766/j.cnki.issn.1674-4152.004119
Citation: HAN Shu, DAI Rong, XIE Weinan, WANG Baojia, DI Jiamei. Analysis of PTH compliance and related influencing factors in MHD patients in Huainan area[J]. Chinese Journal of General Practice, 2025, 23(8): 1298-1302. doi: 10.16766/j.cnki.issn.1674-4152.004119

Analysis of PTH compliance and related influencing factors in MHD patients in Huainan area

doi: 10.16766/j.cnki.issn.1674-4152.004119
Funds:

 AHWJ2023A10030

 Byycx23142

  • Received Date: 2025-01-22
    Available Online: 2025-10-31
  •   Objective  To understand the compliance of parathyroid hormone (PTH) quality control indicators and related influencing factors in maintenance hemodialysis (MHD) patients in Huainan area through the analysis of general clinical data and clinical quality control data of MHD patients in Huainan area from 2021 to 2023, so as to provide a basis for finding more effective prevention and treatment measures.  Methods  The patients who underwent MHD in 18 hemodialysis units in Huainan area from January 2021 to December 2023 were selected as the research objects, and the general clinical data and related laboratory indicators of all patients were collected. The compliance of PTH related clinical indicators in MHD patients in Huainan area was analyzed, and the related factors affecting PTH compliance were explored.  Results  A total of 4 409 MHD patients from 18 hemodialysis units in Huainan area were included in this study, including 2 740 males and 1 669 females, with an average age of (58.23±12.71) years and an average dialysis age of 60.00 (36.00, 97.00) months. The laboratory test results of all subjects showed that the compliance rates of serum calcium, serum phosphorus, ALP and PTH were 63.1%, 46.7%, 75.3%, and 59.2%, respectively. There were statistically significant differences in the distribution of blood phosphorus compliance rate and PTH compliance rate in 2021, 2022 and 2023 (χ2=8.765, 10.917, P=0.012, 0.004). There were statistically significant differences in the distribution of PTH compliance among subjects with different ages, primary diseases, blood phosphorus compliance rate and ALP compliance rate (P < 0.05).  Conclusion  The indicators of MHD patients in Huainan area still need to be further improved, and the compliance rate of blood phosphorus and PTH increased year by year from 2021 to 2023. The age, hypertension, serum phosphorus and ALP are all related factors affecting PTH compliance.

     

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