腹膜透析治疗老年终末期肾病患者临床效果及对肾功能影响.docVIP

腹膜透析治疗老年终末期肾病患者临床效果及对肾功能影响 　　[摘要] 目的 探讨腹膜透析治疗老年终末期肾病患者的临床效果及对肾功能的影响。方法 方便选取该院2005年4月―2016年2月收治的老年终末期肾病患者156例作为研究对象，随机分为观察组和对照组，各组78例。对照组给予血液透析治疗，观察组给予腹膜透析治疗。观察两组临床治疗效果，并比较肾功能改善情况。 结果 观察组患者治疗有效率87.18%比对照组66.67%高（P0.05）；治疗后：观察组患者肾小球滤过率（6.23±1.52）mL/min比对照组肾小球滤过率（4.01±1.31）mL/min高（P0.05），观察组患者血肌酐（685.38±113.28）μmol/L、血尿素氮（11.54±2.61）mmol/L比对照组血肌酐（997.85±104.37）μmol/L、血尿素氮（15.27±2.45）mmol/L低（P0.05），观察组白蛋白（29.58±4.16）g/L比对照组白蛋白（25.63±4.37）g/L高（P0.05）。 结论 腹膜透析治疗老年终末期肾病患者的临床效果显著，有效改善肾功能，值得参考。 　　[关键词] 血液透析；终末期肾病；腹膜透析 　　[中图分类号] R692 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0071-03 　　Clinical Effect of Peritoneal Dialysis Treatment of Senile Patients with End-stage Renal Disease and Effect on Renal Function 　　ZHANG Xiu-ming 　　Department of Nephrology， Inner Mongolia Baogang hospital， Baotou， Inner Mongolia， 014010 China 　　[Abstract] Objective To study the Clinical effect of peritoneal dialysis treatment of senile patients with end-stage renal disease and effect on renal function. Methods 156 cases of senile patients with end-stage renal disease admited and treated in our hospital from April 2005 to February 2016 were convenient seelcted and randomly divided into two groups with 78 cases in each， the ocntorl group were treated with hemodialysis， while the observation group were treated with peritoneal dialysis， and the clinical treatment effect of the two groups was observed and the improvement condition of renal function was compared. Results The treatment efective rate in the observation group was higher than that in the control group（87.18% vs 66.67%）（P0.05）， after treatment， the glomerular filtration rate in the observaiton group was higher than that in the control group， [（6.23±1.52）mL/min vs （4.01±1.31）mL/min]（P0.05）， and the creatinine blood level and blood urea nitrogen level in the observation group were lower than those in the control group，[（685.38±113.28）μmol/L，（11.54±2.61）mmol/L vs （997.85±104.37）μmol/L， （15.27±2.45）mmol/L]（P0.05）， and the albumin in the obse