摘要
目的了解高通量透析对尿毒症患者钙磷代谢、贫血和营养状况的影响和护理体会。方法选取乐山市人民医院维持性血透患者120例,随机分为高通量透析组和低通量透析组。6个月后,分别比较两组患者前后血钙、血磷、甲状旁腺激素、血红蛋白、血白蛋白、血肌酐和尿素氮等情况。结果高通量透析组血磷和甲状旁腺激素水平明显低于低通量透析组,差异有统计学意义(P<0.01);高通量透析组观察结束时,甲状旁腺激素水平明显低于观察开始时,差异有统计学意义(P<0.05),血红蛋白水平明显高于观察开始时,差异有统计学意义(P<0.05);低通量透析组观察结束时,甲状旁腺激素水平明显高于观察开始时,差异有统计学意义(P<0.05),血钙水平明显低于观察开始时,差异有统计学意义(P<0.05)。结论高通量透析可以改善血透患者的钙磷代谢和贫血。
Objective To analyse the effects of high-flux hemodialysis in calcium phosphorus metabolic,anemia and nu-tritional status of patients with maintenance hemodialysis dialysis and nursing care understand. Methods 120 cases of MHD pa-tients in Leshan People’s Hospital were selected and divided into two groups,which one was high-flux hemodialysis,and the other one was low-flux hemodialysis. After 6 months,serum calcium,serum phosphorus,PTH,hemoglobin,serum albumin,serum creati-nine and urea nitrogen of the patients were detected. Results The level of serum phosphorus and PTH of high-flux hemodialysis patients group reduced more obviously comparison with low-flux hemodialysis patients group（P〈0. 01）. After 6 months,the level of PTH of high- flux hemodialysis patients group was reduced more obviously and the level of hemoglobin was heightened （ P〈0. 05）. After 6 months,the level of PTH of low-flux hemodialysis patients group was heightened more obviously and the level of serum calcium was reduced（P〈0. 05）. Conclusion Calcium phosphorus metabolism and anemia of maintenan hemodialysis dial-ysis patients were improved with high-flux dialysis.
出处
《四川医学》
CAS
2015年第6期904-906,共3页
Sichuan Medical Journal
关键词
高通量透析
钙磷代谢
贫血
high-flux hemodialysis
calcium,phosphorus metabolic
nursing care
