维持性血液透析贫血患者血红蛋白波动影响因素的研究.pdf

结论：随访维持性血液透析患者中，80％以上存在血红蛋白波动， 且具有一定周期性；EPO、铁剂及铁储存状态、左卡尼汀、住院、炎 症、透析等因素均可影响血红蛋白波动，尤其以EPO剂量为首要影 响因素；使用左卡尼汀或静脉铁剂，大剂量或小剂量EPO，或铁储存 不足或过量，超滤量差异大，以及使用高通量透析膜均可增大患者血 红蛋白波动幅度。图10幅，表6个，参考文献36篇 关键词：维持性血液透析：血红蛋白波动；促红细胞生成素；铁剂 分类号：R692．5 III TheInfluenceFactorsof FluctuationinThe Hemoglobin Maintenance PatientswithAnemia Hemodialysis discussedthe of phenomenonhemoglobin Abstract：Objectives：To andits factorsinmaintenance fluctuation influencing hemodialysis (MHD)patients． researchobserved140MHD whohad Method：This patients finishedmaintenance over3 monthsinourblood hemodialysis theinformationsuchasbiochemical center．Wecollected purification the etcofthe assessed andclinicalstates criterion，Drug．use patients．We influencethe of fluctuationandthefactorsthat phenomenonhemoglobin fluctuationtrend thesame the statistics，at time，assessed bycounting thatthe ofthe ratioineachcase standarddeviation averagehemoglobin 3 different and conditionsetcafter drug—use，hospitalizationdialysis mothsmeanof factor ofvariance．