国产无醋酸碳酸氢盐血液透析的临床观察  

Clincal observation of hemodialysis with China-made acetate-free bicarbonate

作　　者：张昭馥[1] 董葆[1] 于黎力 刘殿军[1] 吴醒身[1] 李洪艳[1] 刘仙娥[1] 

机构地区：[1]海军总医院肾内科,邮政编码100037 [2]北京四维医药科技研究所

出　　处：《北京医学》2001年第6期346-349,共4页Beijing Medical Journal

摘　　要：目的　探讨国产无醋酸碳酸氢盐血液透析液的效果。方法　观察并比较 3 2例尿毒症患者分别使用醋酸盐 ( AHD)、常规碳酸氢盐 ( BHD)、无醋酸碳酸氢盐 ( AFHD)血液透析的近期疗效。结果　清除低分子毒素、纠正电解质酸碱失衡 ,三组相同。改善低氧血症、细胞免疫及心肌协调性、降低肿瘤坏死因子 α( TNFα)及减少临床不良反应 ,AFHD组优于 BHD组。结论　国产无醋酸碳酸氢盐血液透析效果良好 。Objective To study the effect of hemodialysis with China made acetate free bicarbonate (AFHO).Methods To observe and compare the effect of the hemodialysis of 32 patients with acetate hemodialysis (AHD),bicarbonate hemodialysis (BHD) and acetate free hemodialysis (AFHD) separately.Results There was no difference in cleaning low molecular toxin and adjusting electrolyte acid base disturbance among three groups.AFHD group showed better than BHD group in improving hypoxia cellular immune function and cardiac muscular coordination,otherwise.AFHD group could reduce TNF and clinical side effect.Conclusions China made AFHD shoued better effect it can be used instead of BHD.

关 键 词：醋酸盐 碳酸氢盐 血液透析 尿毒症 

分 类 号：R459.5[医药卫生—治疗学]