两种血液净化方式对降低维持性血液透析并发症及提高生活质量的效果比较  

Effects of two blood purification ways on reducing the complications of maintenance hemodialysis and improving the quality of life

作　　者：武煜[1] 王玲[1] 张成标[1] 

机构地区：[1]江苏省徐州市第一人民医院肾内科,221000

出　　处：《检验医学与临床》2016年第24期3446-3447,3450,共3页Laboratory Medicine and Clinic

基　　金：国家自然科学基金面上项目(31571187);江苏省高校自然科学研究项目(12KJD320005)

摘　　要：目的研究两种不同血液净化方式对降低维持性血液透析患者并发症及提高生活质量的影响观察。方法选取该院2013年2月至2015年8月收治的维持性血液透析患者120例,采用随机数字表法将其分为观察组和对照组各60例,对照组采取单纯型血液透析,观察组采取复合型血液透析进行血液净化,将两组患者生活质量、营养状况及并发症进行对比。结果观察组生活质量明显优于对照组,差异有统计学意义(P<0.05);观察组营养状况明显优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论复合型血液透析能更有效地清除患者体内大分子及中分子毒素,改善患者营养状况与预后,因此,采用合适的血液透析方式对患者的治疗具有重要临床意义。Objective To study the effects of two blood purification ways on reducing the complications of maintenance hemodialysis and improving the quality of life.Methods Totally 120 patients with maintenance hemodialysis admitted in our hospital from February 2013 to August 2015 were randomly divided into observation group and control group,60 cases in each group.The control group was treated with hemodialysis alone,the patients in the observation group were treated with compound hemodialysis for blood purification,and the quality of life,nutritional status and complications of the two groups were compared.Results Quality of life in the observation group was significantly better than the control group,the difference was statistically significant（P〈0.05）;the nutritional status of the observation group was significantly better than the control group,the difference was statistically significant（P〉0.05）;the complication rate of the observation group and the control group was not statistically significant（P〈0.05）.Conclusion Combined hemodialysis can more effectively remove macromolecules and molecular toxins in patients,improve nutritional status and prognosis of patients.Therefore,it is of great clinical significance to treat the patients with appropriate hemodialysis.

关 键 词：单纯型 复合型 维持性血液透析 并发症 生活质量 

分 类 号：R459.5[医药卫生—治疗学]