血液透析滤过与血液透析联合血液灌流治疗尿毒症顽固性高血压的效果  

Effect of Hemodiafiltration and Hemodialysis Combined with Hemoperfusion in the Treatment of Uremic Refractory Hypertension

作　　者：陈清翠 CHEN Qingcui(Xiamen Third Hospital,Xiamen 361000,China)

机构地区：[1]厦门市第三医院,福建厦门361000

出　　处：《中外医学研究》2021年第21期142-144,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究血液透析滤过(HDF)、血液透析(HD)+血液灌流(HP)治疗尿毒症顽固性高血压的效果。方法:选取2018年1月-2020年6月笔者所在医院收治的86例尿毒症顽固性高血压患者。根据随机数字表法将其分为A、B组,每组43例。A组实施HDF治疗,B组实施HD+HP治疗。比较两组治疗效果。结果:治疗前,两组血压水平比较差异无统计学意义(P>0.05);治疗5周时,B组血压水平低于A组,差异有统计学意义(P<0.05)。治疗前,两组全段甲状旁腺激素、血钙、血磷水平比较差异均无统计学意义(P>0.05);治疗5周时,B组全段甲状旁腺激素、血磷水平均低于A组,血钙水平高于A组,差异有统计学意义(P<0.05)。A组不良反应发生率为9.30%,B组不良反应发生率为4.65%,组间比较差异无统计学意义(P>0.05)。结论:应用HD+HP治疗尿毒症顽固性高血压,可改善患者血压水平及血液质量,且安全性理想,具有临床应用价值。Objective:To explore the effect of hemodiafiltration(HDF),hemodialysis(HD)+hemoperfusion(HP)in the treatment of uremic refractory hypertension.Method:A total of 86 patients with uremia refractory hypertension admitted in our hospital from January 2018 to June 2020 were selected.According to random number table method,they were divided into group A and group B,with 43 cases in each group.Group A was treated with HDF,while group B was treated with HD+HP.The therapeutic effect of the two groups was compared.Result:Before treatment,there was no significant difference in blood pressure between the two groups(P>0.05).After 5 weeks of treatment,the blood pressure of group B was lower than that of group A,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of parathyroid hormone,serum calcium and serum phosphorus between the two groups(P>0.05).After 5 weeks of treatment,the levels of parathyroid hormone and serum phosphorus in group B were lower than those in group A,and the level of serum calcium in group B was higher than that in group A,the differences were statistically significant(P<0.05).The incidence of adverse reactions in group A was 9.30%,and 4.65%in group B,and there was no significant difference between the two groups(P>0.05).Conclusion:The application of HD+HP in the treatment of uremia refractory hypertension can improve the patient’s blood pressure level and blood quality,and the safety is ideal,and has clinical application value.

关 键 词：尿毒症顽固性高血压 血液透析 血液灌流 

分 类 号：R692.5[医药卫生—泌尿科学] R544.1[医药卫生—外科学]