糖尿病新世界2024,Vol.27Issue(8) :4-7.DOI:10.16658/j.cnki.1672-4062.2024.08.004

不同血液净化方案对糖尿病肾病患者临床疗效及血糖的影响

Effect of Different Blood Purification Schemes on Clinical Efficacy and Blood Glucose in Diabetic Nephropathy Patients

王仲甜 宋娜
糖尿病新世界2024,Vol.27Issue(8) :4-7.DOI:10.16658/j.cnki.1672-4062.2024.08.004

不同血液净化方案对糖尿病肾病患者临床疗效及血糖的影响

Effect of Different Blood Purification Schemes on Clinical Efficacy and Blood Glucose in Diabetic Nephropathy Patients

王仲甜 1宋娜2
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作者信息

  • 1. 泰安八十八医院肾病内科,山东 泰安 271000
  • 2. 泰安八十八医院透析室,山东 泰安 271000
  • 折叠

摘要

目的 研究不同血液净化方案对糖尿病肾病血液透析患者血糖及肾功能的影响.方法 选取2022年6月—2023年6月山东省泰安八十八医院收治的100例糖尿病肾病血液透析患者为研究对象,根据不同治疗方式分为两组,各50例,对照组行常规血液透析,观察组行血液透析加滤过治疗.对比两组血糖及肾功能指标.结果 观察组血红蛋白、总蛋白、白蛋白、CO2 结合力均明显高于对照组,血尿素氮、肌酐明显低于对照组,差异有统计学意义(P均<0.05).观察组空腹血糖、糖化血红蛋白明显低于对照组,差异有统计学意义(P均<0.05).结论 血液透析加滤过治疗有利于改善患者的肾功能及稳定患者的血糖.

Abstract

Objective To study the effects of different blood purification schemes on blood glucose and renal function of diabetic nephropathy patients on hemodialysis.Methods A total of one hundred patients with diabetic nephropathy undergoing hemodialysis in Tai'an 88th Hospital from June 2022 to June 2023 were selected as the study objects,and were divided into two groups according to different treatment methods,with fifty patients in each group.The control group was treated with routine hemodialysis,and the observation group was treated with hemodialysis plus filtration.The blood glucose indexes and renal function indexes of the two groups were compared.Results The hemoglobin,total protein,albumin and binding force of CO2 in observation group was significantly higher than that in control group,and blood urea nitrogen and creatinine were significantly lower than that in control group,and the differences were statisti-cally significant(all P<0.05).Fasting blood glucose and glycosylated hemoglobin A1c in observation group were sig-nificantly lower than those in control group,and the differences were statistically significant(both P<0.05).Conclusion Hemodialysis plus filtration is beneficial to improve renal function and stabilize blood glucose in patients.

关键词

不同血液净化方案/糖尿病肾病/血糖

Key words

Different blood purification schemes/Diabetic nephropathy/Blood glucose

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基金项目

泰安市科技创新发展项目(2022NS269)

出版年

2024
糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
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