常规血液透析前后甲状旁腺激素水平变化分析及意义  

The Analysis and Significance of Changes in Parathyroid Hormone Level Before and After Conventional Hemodialysis

作　　者：汤小芳[1] 周玉坤[1] 李康峰[1] 石平[1] 章亮[1] 刘宁[1] 严宁[1] 洪冬梅[1] 张玉新[1] 严连喜[1] 曹胜利[1] 

机构地区：[1]第二军医大学长征医院南京分院肾内科,南京210015

出　　处：《中国中西医结合肾病杂志》2011年第9期791-792,共2页Chinese Journal of Integrated Traditional and Western Nephrology

摘　　要：目的:观察血液透析前后甲状旁腺激素变化,探讨常规血液透析透前与透后甲状旁腺激素变化的影响因素。方法:记录22例继发性甲状旁腺功能亢进的患者常规血液透析前后甲状旁腺激素、钙、磷等变化并计算Kt/V值。结果:常规血液透析前后甲状旁腺激素、血磷变化差异有统计学意义,血钙变化差异无统计学意义。结论:常规血液透析通过纠正高磷血症可有效降低甲状旁腺激素水平,改变血液透析方式增加血磷的充分清除亦可以有效控制甲状旁腺激素水平。Objective：To investigate the changes of parathyroid hormone level before and after hemodialysis,and look for the acting factors of these changes.Methods：Choosing the secondary hyperparathyroidism 22 patients recorded the changes of their parathyroid hormone level,calcium,phosphorus before and after routine parathyroid hormone,and caculating the Kt/V values.Results：The chages of Parathyroid hormone,phosphorus before and after conventional hemodialysis have significant statistical differences,but the change of serum calcium was not statistically different.Conclusion：Conventional hemodialysis can reduce parathyroid hormone levels by correcting hyperphosphatemia,and Changing hemodialysis mode to increase fully phosphorus removal can also was effective control of parathyroid hormone.

关 键 词：血液透析 高磷血症 继发性甲状旁腺功能亢进症 

分 类 号：R692.5[医药卫生—泌尿科学]