高通量血液透析与常规血液透析联合血液透析滤过效果对比分析.docVIP

高通量血液透析与常规血液透析联合血液透析滤过效果对比分析 　　[摘要] 目的 对比观察常规血液透析与血液透析滤过联合法、高通量血液透析的临床效果。方法 方便选取该院自2016年1月―2017年1月期间收治的56例血液透析患者，采取计算机表法的形式随机分为两组，为参照组（n=28例）与实验组（n=28例），参照组患者予以常规血液透析与血液透析滤过联合法，实验组患者予以高通量血液透析，分析对比两组血液透析患者经CRP、白细胞、收缩压、舒张压、不良反应发生率等情况。结果 参照组血液透析患者CRP、白细胞、收缩压、舒张压、不良反应等指标之间差异无统计学意义（P0.05）。实验组治疗6个月指标白细胞（6.78±3.22）×109、收缩压（115.54±19.65）mmHg、舒张压（77.24±8.69）mmHg与基线期对比差异有统计学意义（P0.05）。结论 在维持血液透析过程中常规血液透析与血液透析滤过联合法、高通量血液透析存在类似的疗效，但是高通量血液透析可更好的控制血压，值得应用。 　　[关键词] 高通量血液透析；常规血液透析；血液透析滤过；效果 　　[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0040-03 　　Comparative Analysis of the Effect of High-throughput Hemodialysis Combined with Routine Hemodialysis 　　SUN Xiao-yan 　　Department of Renal Medicine， Chongqing Iron and Steel General Hospital， Chongqing， 400080 China 　　[Abstract] Objective This paper tries to compare the clinical effects of conventional hemodialysis and hemodiafiltration combined with high flux hemodialysis. Methods 56 hemodialysis patients treated during January 2016 to January 2017 were convenient selected， and were randomly divided into two groups by taking the form of computer table method， as the control group （n=28） and experimental group （n=28）， the control group was treated with routine hemodialysis and hemodiafiltration combined method， experimental group patients with high flux hemodialysis， and the hemodialysis patients were compared between the two groups by CRP， white blood cells， systolic blood pressure and diastolic blood pressure， the incidence of adverse reaction etc. Results There was no significant difference between CRP， leukocyte， systolic blood pressure， diastolic blood pressure and adverse reaction in the hemodialysis patients. The statistical significance was not significant（P0.05）. The experimental group treated six months index white blood cells were （6.78±3.22）×109， systolic blood pressure （115.54 ± 19.65）mmHg and diastolic blood pressure （77.24±8.69）mmHg， significantly different from those in the baseline group （P0.05）. The statistic