首页|腹膜透析替代治疗对终末期肾脏病患者炎性因子、不良反应及效果的影响

腹膜透析替代治疗对终末期肾脏病患者炎性因子、不良反应及效果的影响

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目的 探讨腹膜透析替代治疗对终末期肾脏病患者炎性因子、不良反应及效果的影响.方法 选择2022年1月—2023年1月毕节市第一人民医院收治的88例终末期肾脏病患者,并按随机数表法分为两组,各44例,对照组采用常规血液透析治疗,观察组采用腹膜透析替代治疗,比较两组炎性因子、肾功能、营养状况、不良反应及效果.结果 观察组治疗总有效率(95.45%)高于对照组(77.27%),差异有统计学意义(χ2=6.175,P<0.05);观察组透析3个月后降钙素原、白细胞计数、中性粒细胞百分比低于对照组,肌酐、尿素氮低于对照组,肾小球滤过率高于对照组,血红蛋白、转铁蛋白、白蛋白、微型营养评估简表评分高于对照组,差异有统计学意义(P均<0.05);观察组不良反应发生率(6.82%)低于对照组(22.73%),差异有统计学意义(χ2=4.423,P<0.05).结论 腹膜透析替代治疗能调节终末期肾脏病患者炎性因子及减少不良反应,改善营养状态,利于保护肾功能.
Effect of Alternative Peritoneal Dialysis Therapy on Inflammatory Factors,Adverse Reactions and Effects in Patients with End-stage Renal Disease
Objective To investigate the effect of alternative peritoneal dialysis therapy on inflammatory factors,ad-verse reactions and effects in patients with end-stage renal disease.Methods A total of eighty-eight patients with end-stage renal disease from Bijie First People's Hospital from January 2022 to January 2023 were selected and di-vided into two groups with forty-four patients each by random number table method.The control group was treated with routine hemodialysis,and the observation group was treated with peritoneal dialysis.Inflammatory factors,renal function,nutritional status,adverse reactions and effects were compared between the two groups.Results The total ef-fective rate of the observation group(95.45%)was higher than that of the control group(77.27%),and the difference was statistically significant(χ2=6.175,P<0.05).After 3 months of dialysis,the percentage of PCT,WBC and neutro-phil in the observation group was lower than that in the control group,Scr and BUN of observation group were lower than control group,eGFR was higher than control group,the hemoglobin,transferrin,albumin and scores of Mini Nutri-tion Assessment in observation group were higher than those in control group,and the difference was statistically sig-nificant(all P<0.05).The incidence of adverse reactions in observation group(6.82%)was lower than that in control group(22.73%),and the difference was statistically significant(χ2=4.423,P<0.05).Conclusion Peritoneal dialysis al-ternative therapy can regulate inflammatory factors,reduce adverse reactions,improve nutritional status and protect re-nal function in patients with end-stage renal disease.

End-stage renal diseasePeritoneal dialysis alternative therapyInflammatory factorsAdverse reaction

唐丽娜、黄尧、赵娅玲、杨亚、周敏

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浙江省人民医院毕节医院(毕节市第一人民医院)肾病风湿血液内科,贵州毕节 551700

终末期肾脏病 腹膜透析替代治疗 炎性因子 不良反应

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)