高通量血液透析和低通量血液透析不同模式对老年维持性血液透析中血压的影响

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英文篇名：Effects of Different Modes of High-Throughput Hemodialysis and Low-Throughput Hemodialysis on Blood Pressure in Elderly Patients Undergoing Maintenance Hemodialysis 作者：郭学文 英文作者：Guo Xuewen;Nephrology department,Boluo County People's Hospital; 关键词：高通量血液透析 ; 低通量血液透析 ; 维持性血液透析 ; 血液 英文关键词：high-throughput hemodialysis;;low throughput hemodialysis;;maintenance hemodialysis;;blood 中文刊名：HJYY 英文刊名：Heilongjiang Medicine Journal 机构：博罗县人民医院肾内科; 出版日期：2019-04-25 出版单位：黑龙江医药 年：2019 期：v.32;No.185 基金：惠州市科技计划项目(编号:2017Y183) 语种：中文; 页：HJYY201902014 页数：4 CN：02 ISSN：23-1383/R 分类号：40-43

摘要

目的:探讨高通量血液透析和低通量血液透析不用模式对老年维持性血液透析中血压的影响。方法:选取在本院进行维持性血液透析老年患者80例(2016年1月-2017年1月),采取数字表随机分组方法分成观察组、对照组各40例,观察组采取高通量血液透析方案,对照组采取低通量血液透析方案,比较两种方案临床治疗情况。结果:透析2小时、透析3小时,SBP、DBP有显著性差异(P<0.05),有统计学意义;观察组疗效优良率显著高于对照组(P<0.05),有统计学意义;观察组肾功能指标改善时间显著短于对照组肾功能改善时间(P<0.05),有统计学意义;透析后,两组C反应蛋白、甲状旁腺激素、血甘油三酯比较有显著性差异,(P<0.05),有统计学意义。结论:给予老年维持性血液透析患者采取高通量血液透析方案,有助于透析中血压值相对稳定,对于提高透析效果,缩短肾功能改善,特别对于改善相关临床指标有重要临床价值。
        Objective:To investigate the effects of different modes of high-throughput and low-throughput hemodialysis on blood pressure in elderly patients undergoing maintenance hemodialysis.Methods:80 elderly patients who underwent maintenance hemodialysis in our hospital(January 2016-January 2017) were selected and divided into observation group and control group by number table method randomly and each group was 40.The observation group received high-throughput hemodialysis program,and the control group received low-flux hemodialysis program.The clinical treatment of the two programs were compared.Results:there were significant differences in SBP and DBP(P<0.05) between dialysis for 2 hours and dialysis for 3 hours.The rate of excellent and good efficacy in the observation group was higher than that in the control group(P<0.05),with statistical significance.The improvement time of renal function indicators in the observation group was shorter than that in the control group(P<0.05),with statistical significance.After dialysis,there were significant differences in C-reactive protein,parathyroid hormone and blood triglyceride between the two groups(P<0.05),with statistical significance.Conclusion:high-throughput hemodialysis regimen for elderly patients with maintenance hemodialysis is helpful for the relative stability of blood pressure in hemodialysis,and has important clinical value for improving the effect of hemodialysis and shortening renal function,especially for improving relevant clinical indicators.

引文

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