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不同透析方案下尿毒症患者血红蛋白的临床状况分析

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摘要 目的 探讨不同透析方案下尿毒症患者的血红蛋白状况。方法 选取尿毒症患者114例,按照入院编号随机分成2组,腹膜透析组57例,对患者进行腹膜透析,血液透析组57例,对患者进行血液透析。对比2组患者透析前、透析后3个月、透析后半年、透析后9个月每周红细胞生成素(EPO)用量、血红蛋白水平,对比2组患者透析前后血清C-反应蛋白(CRP)水平。结果 相较于血液透析组,腹膜透析组透析前、透析后3个月、透析后半年、透析后9个月每周红细胞生成素用量均更低,差异有统计学意义(P〈0.05),同时腹膜透析患者透析前后CRP水平均低于对照组,差异有统计学意义(P〈0.05);每周EPO用量波动(OR=1.110,95%CI=1.034-1.191)、血液透析(OR=3.080,95%CI=1.620-5.858)是血红蛋白变异的危险因素。结论 每周EPO用量波动和血液透析是血红蛋白变异的危险因素。
作者 邱建华
出处 《当代医学》 2016年第28期80-82,共3页 Contemporary Medicine
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