血液透析与腹膜透析对尿毒症患者在钙、磷代谢中的影响探析.docVIP

血液透析与腹膜透析对尿毒症患者在钙、磷代谢中的影响探析 　　【摘要】 目的：观察和分析血液透析与腹膜透析对尿毒症患者在钙、磷代谢中的影响。方法：选取本院2013年1月-2015年1月收治的100例尿毒症患者，采用双色球随机分组法将其分为血液透析组和腹膜透析组，每组50例，分别行血液透析和腹膜透析。对两组透析患者治疗前、治疗后3个月、6个月的钙、磷代谢情况进行观察分析。结果：血液透析组透析患者低甲状旁腺激素发生率较腹膜透析组更低，高甲状旁腺激素、高磷发生率较腹膜透析组更高（P0.05）；治疗后6个月，两组患者的甲状旁腺激素均明显低于治疗前（P0.05）。结论：在尿毒症患者透析治疗中，腹膜透析能更好地控制钙磷代谢，临床需结合患者实际情况，选择适宜的透析方式，合理饮食，以此实现最佳的治疗效果，提高患者生活质量。 中国论文网 /6/view-7251478.htm 　　【关键词】 尿毒症； 血液透析； 腹膜透析； 钙磷代谢 　　Influence Analysis of Hemodialysis and Peritoneal Dialysis on the Calcium and Phosphorus Metabolism in Patients with Uremia/HUANG Li，GUAN Jie-yi，CHEN Yu-ping.//Medical Innovation of China，2016，13（09）：040-042 　　【Abstract】 Objective：To observe and analyze the effects of hemodialysis and peritoneal dialysis on the calcium and phosphorus metabolism in patients with uremia.Method：One hundred patients with uremia admitted to our hospital from January 2013 to January 2015 were selected and divided into the hemodialysis group and the peritoneal dialysis group according to two color ball random grouping method，50 cases in each group.They underwent hemodialysis and peritoneal dialysis respectively.The calcium and phosphorus metabolism between the two groups before treatment，after treatment for three months，six months were observed and analyzed.Result：The incidence of low parathyroid hormone in the hemodialysis group was significantly lower than the peritoneal dialysis group，the incidence of high parathyroid hormone and high phosphorus in the hemodialysis group were significantly higher than the peritoneal dialysis group，the differences were statistically significant（P0.05）.After treatment for six months，the parathyroid hormone of the two groups were significantly lower than before treatment（P0.05）.Conclusion：In uremic patients for dialysis，peritoneal dialysis can better control calcium and phosphorus metabolism，clinical needs to be combined with the actual situation of patients，the appropriate choice of dialysis modality，proper diet，in order to achieve the best the