高通量血液透析与血液透析滤过对慢性肾衰竭尿毒症患者透析效果的比较.docVIP

精品论文 参考文献 高通量血液透析与血液透析滤过对慢性肾衰竭尿毒症患者透析效果的比较 朱秋云 　　（复旦大学附属中山医院青浦分院 上海 201700） 　　【摘要】目的：对比分析高通量血液透析与血液透析滤过对慢性肾衰竭尿毒症患者的临床疗效。方法：选择我院自2012年9月至2015年1月收治的77例慢性肾衰竭尿毒症患者的临床资料，根据随机的原则，将患者分为观察组39例与对照组38例，对照组患者采用高通量血液透析，观察组患者给予血液透析滤过治疗。结果：两组患者经治疗后，beta;2-MG与Scr水平均较治疗前有明显改善（Plt;0.05），且观察组患者beta;2-MG与Scr水平要明显低于对照组患者，两组比较，结果具有显著性差异（Plt;0.05），经治疗后，观察组患者总有效率明显高于对照组患者，两组比较，结果具有显著性差异（Plt;0.05）。结论：在治疗慢性肾衰竭尿毒症方面，血液透析滤过治疗相对于高通量血液透析治疗，可更明显地降低患者体内beta;2-MG与Scr水平，提高临床疗效，在应用上，可根据患者需求选择性使用。 　　【关键词】高通量血液透析；血液透析滤过；慢性肾衰竭尿毒症 　　【中图分类号】R495.5 【文献标识码】A 【文章编号】2095-1752（2015）12-0108-02 　　Comparison of dialysis effect on chronic renal failure patients with uremia,between compared with hemodialysis in high and flux hemodialysis filtration Zhu Qiuyun Zhongshan Hospital Qingpu Branch, Affiliated to Fudan University, Shanghai 201700,china 　　【Abstract】Objective to contrast analysis of high flux hemodialysis patients with uremia hemodialysis filtration for chronic renal failure clinical curative effect. Methods Choose our hospital from September 2012 to January 2015, 77 cases of chronic renal failure patients with uremia, were randomly divided into observation group (39 cases) and control group (38 cases). The control group were treated by high flux hemodialysis; Observation group of patients given hemodialysis filtration treatment. Results Two groups of patients after treatment, beta;2 - MG and Scr levels had significantly improved than before treatment (P lt; 0.05), the patientssbeta;2 - MG and Scr levels in observation group, significantly lower than the control group patients. After treatment, the total effective rate of observation group patients was obviously higher than that of control group patients. The results have significant difference (P lt; 0.05). Conclusion For the treatment of chronic renal failure uremia hemodialysis filtration treatment compared with high flux hemodialysis treatment, can obviously reduce the patients bodybeta;2 - MG and Scr