腹膜透析和血液透析对尿毒症患者钙磷代谢的影响  

Effects of Peritoneal Dialysis and Hemodialysis on Calcium and Phosphorus Metabolism in Uremia Patients

作　　者：魏从丽 张百中 韩洪波[1] WEI Congli;ZHANG Baizhong;HAN Hongbo(Shuyang People's Hospital,Suqian,Jiangsu 223600,China)

机构地区：[1]沭阳县人民医院,江苏宿迁223600

出　　处：《大医生》2019年第12期22-23,共2页Doctor

摘　　要：目的探究尿毒症患者接受腹膜透析(PD)与血液透析(HD)治疗对其钙磷代谢的影响。方法选取2015年3月至2018年3月沭阳县人民医院的62例尿毒症患者为此次研究对象,按照透析治疗方式的不同分为两组,HD组(n=30)实施HD治疗,PD组(n=32)实施PD治疗,比较两组患者血磷、校正钙及全段甲状旁腺素(iPTH)的水平及不良反应发生情况。结果PD组患者治疗后血磷、校正钙及iPTH水平均明显低于HD组,差异有统计学意义(P<0.05);两组不良反应发生率相比,差异无统计学意义(P>0.05)。结论尿毒症患者接受HD和PD治疗均可取得一定的治疗效果,PD可更好地改善患者的钙磷代谢。Objective To investigate the effect of peritoneal dialysis(PD)and hemodialysis(HD)on calcium and phosphorus metabolism in patients with uremia.Methods A total of 62 patients with uremia were selected as subjects from March 2015 to March 2018 and divided into 2 groups according to different treatments.Patients in the HD group(n=30)received HD treatment,while those in the PD group(n=32)received PD treatment.The levels of serum phosphorus,serum calcium and iPTH as well as adverse reaction in the two group were compared.Results The levels of serum phosphorus,serum calcium and iPTH in the PD group were significantly lower than those in the HD group(P<0.05).The incidences of adverse reactions in the two groups were not statistically significant(P>0.05).Conclusion Both HD and PD for uremia patients can achieve certain therapeutic effects,among which PD can better promote the metabolism of calcium and phosphorus.

关 键 词：腹膜透析 血液透析 尿毒症 钙磷代谢 

分 类 号：R69[医药卫生—泌尿科学]