Impact Studies of Semi-permanent Catheter and Autogenous Arterio-venous Fistula on the In-vivo Micro-inflammation States and Tunica Intima for Ederly Maintenance Hemodialysis Patients
Objective To study the impact of semi-permanent catheter and autogenous arterio-venous fistula in elderly maintenance hemodialysis patients.Methods 80 elderly maintenance hemodialysis patients admitted from July 2020 to March 2022 in our hospital were selected.According to random permutation method,patients were assigned to study group(n=40,autogenous arterio-venous fistula)and control group(n=40,semi-permanent catheter).Group contrast results were obtained through tumor necrosis factor-α(TNF-α),lnterkeukin-6(IL-6),hypersensitivity C-reactive protein(hs-CRP),blood urea nitrogen(BUN),serum creatinine(Scr),creatinine clearance rate(Ccr),hemoglobin(Hb),retinol-binding protein(RBP),albumin(ALB),transferrin(TRF),resistance index(RI),maximum intima-media thickness(IMT)and surgical complications.Results Before intervention,there were no significant between-group differences about the micro-inflammation indicators,tunica intima conditions,renal function and nutritive indexes(P＞0.05);after intervention,TNF-α,IL-6,hs-CRP,RI,maximum IMT,BUN and Scr values in the study group were significantly lower than those of control group;but Ccr,Hb,RBP,ALB and TRF levels were higher than those of control group(P＜0.05);the surgical complication rate in the study group(7.50％)was lower than that of control group(25.00％)(P＜0.05).Conclusion The autogenous arterio-venous fistula can better reduce the in-vivo micro-inflammation states and surgical complications,improve the tunica intima conditions,nutritional status and renal function for elderly maintenance hemodialysis patient.It is worthy of clinical promotion.
万方数据
维普
