首页|血液透析联合血液灌流治疗对慢性肾病患者血清钙磷、血脂和肾功能指标的影响

血液透析联合血液灌流治疗对慢性肾病患者血清钙磷、血脂和肾功能指标的影响

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目的 研究血液透析(HD)联合血液灌流(HP)治疗对慢性肾病患者血清钙磷、血脂和肾功能指标的影响.方法 以 2021 年7 月-2023 年 10 月万年县人民医院肾内科收治的 68 例慢性肾病患者为研究对象,经随机数字表法分为对照组(34 例)和观察组(34 例).对照组行HP治疗,观察组则采用HD联合HP治疗,比较两组血清钙、磷水平、炎性指标[C-反应蛋白(CRP)、白介素(IL-6)]、血脂水平[甘油三酯(TG)、总胆固醇(TC)]、肾功能指标[血清肌酐(Scr)、血清尿素氮(BUN)].结果 与治疗前比较,两组治疗后血清钙含量及Scr、BUN水平更高,磷含量及CRP、IL-6、TG、TC水平更低,且与对照组比较,观察组血清钙含量更高、磷含量及CRP、IL-6、TG、TC、Scr、BUN更低(P<0.05).结论 HD联合HP可纠正慢性肾病患者的钙磷代谢平衡,下调其炎性指标及血脂水平,缓解肾功能损伤.
Effects of Hemodialysis Combined with Hemoperfusion on Serum Calcium and Phosphorus,Blood Lipid and Renal Function Indexes in Patients with Chronic Kidney Disease
Objective To study the effect of hemodialysis(HD)combined with hemoperfusion(HP)on serum calcium,phosphorus,blood lipid and renal function in patients with chronic kidney disease.Methods Using the random number table method,totally 68 patients with chronic kidney disease admitted to the Department of Nephrology,Wannian County People's Hospital from July 2021 to October 2023 were divided into control group(34 patient)and observation group(34 patient).In the control group,patients were treated with HP,while in the observation group,patient were treated with HD combined with HP.The serum calcium and phosphorus levels,inflammatory indexes[C-reactive protein(CRP),interleukin(IL-6)],blood lipid levels[triglyceride(TG),total cholesterol(TC)],renal function indexes[serum creatinine(Scr),serum urea nitrogen(BUN)]were compared between the two groups.Results Compared with before treatment,the serum calcium content,Scr and BUN levels were higher,and the phosphorus content,CRP,IL-6,TG and TC levels were lower in the two groups after treatment,while compared with the control group,the serum calcium content was higher,and the phosphorus content,CRP,IL-6,TG,TC,Scr and BUN were lower in the observation group(P<0.05).Conclusion HD combined with HP can correct the balance of calcium and phosphorus metabolism in patients with chronic kidney disease,down-regulate their inflammatory indicators and blood lipid levels,and alleviate renal function damage.

HemodialysisHemoperfusionChronic kidney diseaseRenal functionSerum calcium and phosphorus contentBlood lipid levels

柴青辉

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万年县人民医院肾内科,江西 万年 335500

血液透析 血液灌流 慢性肾病 肾功能 血清钙磷含量 血脂水平

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(24)