不同血管通路在老年维持性血液透析患者中的应用效果对比
Comparison on the Application Effects of Different Vascular Pathways in Elderly Patients with Maintenance Hemodialysis
赖贻旺 1张竹华 1郑雪敏1
作者信息
- 1. 漳州市第三医院肾内科,福建漳州 363000
- 折叠
摘要
目的 对比两种不同血管通路在老年维持性血液透析患者中的应用效果.方法 选择 2021 年 4 月至2023 年 5 月我院收治的 88 例老年维持性血液透析患者,根据不同透析血管通路分为透析导管组和动静脉内瘘组,比较两组的钙磷代谢情况、血清炎性因子以及不良反应.结果 透析后,动静脉内瘘组的血磷、血钙均显著低于透析导管组,血清β2-MG、IL-6 水平均显著低于透析导管组(P<0.05).动静脉内瘘组的不良反应总发生率显著低于透析导管组(P<0.05).结论 动静脉内瘘作为透析血管通路的效果较好,可改善老年维持性血液透析患者的钙磷代谢,减轻炎性反应,减少不良反应的发生.
Abstract
Objective To compare the application effects of different vascular pathways in elderly patients with maintenance hemodialysis.Methods 88 elderly patients with maintenance hemodialysis admitted to our hospital from April 2021 to May 2023 were selected and divided into the dialysis catheter group and the arteriovenous fistula group according to different dialysis vascular pathways.The calcium and phosphorus metabolism,serum inflammatory factors and adverse reactions were compared between the two groups.Results After dialysis,the levels of serum phosphorus and calcium in the arteriovenous fistula group were significantly lower than those in the dialysis catheter group,and the levels of serum β2-MG and IL-6 were significantly lower than those in the dialysis catheter group(P<0.05).The total incidence of adverse reactions in the arteriovenous fistula group was significantly lower than that in the dialysis catheter group(P<0.05).Conclusions Arteriovenous fistula has good effect as a dialysis vascular pathway,which can improve the calcium and phosphorus metabolism of elderly patients with maintenance hemodialysis,relieve the inflammatory reaction and reduce the occurrence of adverse reactions.
关键词
维持性血液透析/动静脉内瘘/透析导管Key words
Maintenance hemodialysis/Arteriovenous fistula/Dialysis catheter引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据