肾性贫血患者应用血液透析滤过与维持性血液透析治疗的效果对比研究  

Comparative study of the treatment of hemodialysis filtration and maintenance hemodialysis for patients with renal anemia

作　　者：卢静[1] 陈懿建[2] 

机构地区：[1]赣南医学院第一附属医院肾内科,江西赣州341000 [2]赣南医学院第一附属医院血液科,江西赣州341000

出　　处：《赣南医学院学报》2017年第1期114-116,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:对比分析血液透析滤过与维持性血液透析对于肾性贫血患者的临床治疗效果。方法:选取本院从2014年1月至2016年1月期间收治的100例肾性贫血患者的临床资料进行对比研究,将患者随机分为2个组,分别为观察组40例,对照组60例,其中,观察组采用的是血液透析+血液透析滤过治疗方法,治疗疗程6个月,每月行6次血液透析+3次血液透析滤过,每次治疗4小时;对照组采用的是维持性血液透析治疗方法,治疗疗程6个月,每月血液透析治疗9次,每次治疗4小时。结果:通过对比研究可知,在治疗前后,观察组的Bun、Cr、PTH和P均出现了下降的趋势(P<0.05),观察组与对照组的Hb以及红细胞的比容均出现了上升(P<0.05)。观察组的Bun、Cr、PTH和P均低于对照组(P<0.05);观察组的Hb以及红细胞的比容均高于对照组(P<0.05)。结论:针对肾性贫血患者,采用血液透析+血液透析滤过治疗的疗效要比维持性血液透析的疗效更好。Objective： The clinical effect of the treatment of hemodialysis filtration and maintenance hemodialysis for patients with renal anemia were compared and analyzed. Methods： 100 patients with renal anemia who were hospitalized in our hospital from January 2014 to January 2016 were included in this study. The patients were randomly divided into two groups ; 40 cases in the observation group, and 60 cases in the control group. The patients in the observation group got the treatment with hemodialysis combined with hemodialysis filtration, and the periods were 6 months. These patients had 6 times hemodialysis, and 3 times hemodialysis filtration every month. Each treatment lasted for 4 hours. The patients in the control group got maintenance hemodialysis treatment for six months, 9 times a month, 4 hours per treatment. Re- suits： The data of the two groups were analyzed and it was found that the levels of Bun, Cr, PTH and serum phosphate of the patients in the observation group had been declining （ P 〈 0.05 ）, and were lower than those in the control group. The levels of Hb and hematocrit in the two groups increased, but they were higher in the observation group （P 〈 0.05 ）. Conclusion： The effect of hemodialysis combined with hemodialysis filtration for renal anemia is better than that of maintenance hemodialysis.

关 键 词：肾性贫血 血液透析滤过 维持性血液透析 

分 类 号：R459.5[医药卫生—治疗学]