中西医结合治疗透析骨病22例临床观察（Clinical observation on treatment of 22 cases of bone dialysis with integrated traditional Chinese and Western Medicine）.docVIP

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中西医结合治疗透析骨病22例临床观察（Clinical observation on treatment of 22 cases of bone dialysis with integrated traditional Chinese and Western Medicine）.doc

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中西医结合治疗透析骨病22例临床观察（Clinical observation on treatment of 22 cases of bone dialysis with integrated traditional Chinese and Western Medicine）

中西医结合治疗透析骨病22例临床观察（Clinical observation on treatment of 22 cases of bone dialysis with integrated traditional Chinese and Western Medicine） Clinical observation on treatment of 22 cases of bone dialysis with integrated traditional Chinese and Western Medicine Update Date: 2009-05-09 click: Yin Guoliang, Lin Kai, Li Xianqun, Ye Cuiling, Wu Yan, Wu Xiuqing, Huang Jiade, Liu Xusheng Keywords: chronic renal failure, maintenance hemodialysis, dialysis, osteopathy, integrated traditional Chinese and Western Medicine Chronic renal failure in hemodialysis (MHD) patients with secondary hyperparathyroidism (SHPT), and parathyroid hormone (PTH) in the normal way of dialysis is not easy to clear, and the long-term increase in PTH can lead to a variety of dialysis bone disease 1, seriously affects the quality of life of patients. In recent years, domestic and foreign reports 1, 25 (OH) 2D3 shock therapy has a certain effect on the remission of dialysis bone disease, but prone to hypercalcemia and other defects. To this end, the author tried the treatment of dialysis bone disease with oral administration of Chinese medicine 1, 25 (OH) 2D3, and achieved satisfactory results. It is reported as follows. 1 clinical information 1.1 case sources, 66 cases of patients were from the Guangdong TCM Hospital nephropathy treatment center, including 43 males and 23 females, with an average age of 46.3 + 23.2 years. 1.2 the dialysis method adopts B-BRAUN-secura and BRAUN-Dialog dialysis machine with reverse osmosis device, and imports copper imitating membrane hollow fiber dialyzer, all uses calcium concentration 1.75mmol/L bicarbonate dialysis solution. The average dialysis time was 4.5 + 3.5 years, and the dialysis time was 8 to 13.5 hours every week. 1.3 cases of chronic renal failure (uremia), maintenance hemodialysis patients, PTH 10.5pmol/L, bone mineral density examination indicated osteoporosis. Exclude non dialysis patients and those who take other calcium supplements at the same tim