首页|HFHD与血液灌流疗法联合治疗对终末期肾病患者的影响研究

HFHD与血液灌流疗法联合治疗对终末期肾病患者的影响研究

扫码查看
目的 研究高通量血液透析(HFHD)与血液灌流(HP)疗法联合治疗对终末期肾病(ESRD)患者的影响.方法 选取 2022 年 5 月—2023 年 8 月我院收治的 52 例ESRD患者为研究对象,随机将其分成试验组和对照组,各26 例.对照组行HFHD治疗,试验组在对照组基础上行HP治疗.比较两组的微炎症水平、肾功能指标及钙磷代谢水平.结果 试验组血清淀粉样蛋白A、白细胞介素-6、肿瘤坏死因子-α、转化生长因子β1 水平均低于对照组,组间差异有统计学意义(P<0.05).试验组血肌酐、血尿素氮、β2 微球蛋白水平均低于对照组,组间差异有统计学意义(P<0.05).试验组磷、碱性磷酸酶、血清全段甲状旁腺素水平均低于对照组,钙高于对照组,组间差异有统计学意义(P<0.05).结论HFHD与HP疗法联合治疗能改善ESRD患者的肾功能指标,降水平低微炎症水平,并恢复其钙磷代谢水平.
Study on the Effect of Combined Treatment of HFHD and Hemoperfusion Therapy on Patients with End-Stage Renal Disease
Objective Study on the effect of combination therapy of high flux hemodialysis(HFHD)and hemoperfusion(HP)on patients with end-stage renal disease(ESRD).Methods Fifty-two ESRD patients admitted to our hospital from May 2022 to August 2023 were selected as the research subjects,randomly divided into an experimental group and a control group,with 26 cases in each group.The control group received HFHD treatment,while the experimental group received HP treatment on the basis of the control group.Compare the levels of micro inflammation,renal function indicators,and calcium and phosphorus metabolism between two groups.Results The levels of serum amyloid A,interleukin-6,tumor necrosis factor alpha,and transforming growth factor-β1 in the experimental group were all lower than those in the control group,the differences between groups were statistically significant(P<0.05).The levels of serum creatinine,blood urea nitrogen,and β2 microglobulin in the experimental group were lower than those in the control group,the differences between groups were statistically significant(P<0.05).The levels of phosphorus,alkaline phosphatase,and serum intact parathyroid hormone in the experimental group were lower than those in the control group,while the levels of calcium were higher than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion The combination therapy of HFHD and HP can improve renal function indicators,reduce micro inflammation levels,and restore calcium and phosphorus metabolism levels in ESRD patients.

End-stage renal diseaseHigh flux hemodialysisHemoperfusionCalcium and phosphorus metabolism levelsRenal function

李欣珏

展开 >

敦化市医院肾内科,吉林敦化 133700

终末期肾病 高通量血液透析 血液灌流 钙磷代谢水平 肾功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)