[1]彭为红,倪 峥,张 璐.维持性血液透析在慢性肾衰竭尿毒症患者中的应用效果及对心肾功能的影响[J].医学信息,2024,37(21):74-77.[doi:10.3969/j.issn.1006-1959.2024.21.016]
　PENG Weihong,NI Zheng,ZHANG Lu.Application Effect of Maintenance Hemodialysis in Patients with Chronic Renal Failure and Uremia and its Influence on Cardiac and Renal Function[J].Journal of Medical Information,2024,37(21):74-77.[doi:10.3969/j.issn.1006-1959.2024.21.016]
点击复制

维持性血液透析在慢性肾衰竭尿毒症患者中的应用效果及对心肾功能的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
74-77
栏目:
论著
出版日期:
2024-11-01

文章信息/Info

Title:
Application Effect of Maintenance Hemodialysis in Patients with Chronic Renal Failure and Uremia and its Influence on Cardiac and Renal Function
文章编号:
1006-1959（2024）21-0074-04
作者:
彭为红; 倪 峥; 张 璐
安福县人民医院内二科，江西 安福 343200
Author(s):
PENG Weihong; NI Zheng; ZHANG Lu
The Second Department of Internal Medicine,Anfu People’s Hospital,Anfu 343200,Jiangxi,China
关键词:
慢性肾衰竭; 维持性血液透析; 尿毒症; 肾功能; 心功能
Keywords:
Chronic renal failure; Maintenance hemodialysis; Uremia; Renal function; Cardiac function
分类号:
R692.5
DOI:
10.3969/j.issn.1006-1959.2024.21.016
文献标志码:
A
摘要:
目的 探讨慢性肾衰竭尿毒症患者应用维持性血液透析的效果及对心肾功能的影响。方法 选取2021年1月-2023年1月安福县人民医院收治的慢性肾衰竭尿毒症患者60例为研究对象，根据随机数字表法分为对照组与研究组，各30例。对照组行常规血液透析治疗，研究组行维持性血液透析治疗，比较两组临床效果、肾功能（Scr、BUN）、生化指标（Hb、TP、ALB、K+、Na+、CI-、24 h尿量）、心功能（LVEF、LVEDD、LVMI）。结果 研究组治疗总有效率为96.67%，高于对照组的73.33%，差异有统计学意义（P＜0.05）；两组治疗后Scr、BUN、Hb、TP、ALB、K+、Na+、CI-、24 h尿量、LVEF、LVEDD、LVMI均较治疗前改善，且研究组优于对照组，差异有统计学意义（P＜0.05）。结论 维持性血液透析治疗慢性肾衰竭尿毒症患者的效果确切，可改善患者生化指标、肾功能及心功能，值得临床应用。
Abstract:
Objective To investigate the effect of maintenance hemodialysis in patients with chronic renal failure uremia and its effect on cardiac and renal function.Methods Sixty patients with chronic renal failure and uremia admitted to Anfu County People’s Hospital from January 2021 to January 2023 were selected as the research objects. According to the random number table method, they were divided into control group and study group, with 30 patients in each group. The control group was treated with routine hemodialysis, and the study group was treated with maintenance hemodialysis. The clinical effect, renal function (Scr, BUN), biochemical indexes (Hb, TP, ALB, K+, Na+, CI-, 24 h urine volume ), cardiac function (LVEF, LVEDD, LVMI) were compared between the two groups.Results The total effective rate of treatment in the study group was 96.67%, which was higher than 73.33% in the control group, and the difference was statistically significant (P<0.05). After treatment, Scr, BUN, Hb, TP, ALB, K+, Na+, CI-, 24 h urine volume, LVEF, LVEDD and LVMI in the two groups were improved compared with those before treatment, and those in the study group were better than the control group, the differences were statistically significant (P<0.05).Conclusion Maintenance hemodialysis is effective in the treatment of uremic patients with chronic renal failure, which can improve their biochemical indexes, renal function and cardiac function.

参考文献/References:

[1]赵文娟,夏世国,王秦.百令胶囊辅助维持性血液透析对慢性肾衰竭尿毒症期患者微炎症状态及残余肾功能的影响[J].中国中西医结合肾病杂志,2022,23(11):1013-1015.[2]宛家奎,水润芝,李金玉,等.高通量血液透析和低通量血液透析治疗尿毒症的效果比较[J].医学综述,2022,28(5):1036-1040.[3]黄承国,孟全玉,栗婷.尿毒清颗粒辅助MHD治疗尿毒症的价值探析[J].中国中西医结合肾病杂志,2022,23(3):259-261.[4]Hargrove N,El Tobgy N,Zhou O,et al.Effect of Aerobic Exercise on Dialysis-Related Symptoms in Individuals Undergoing Maintenance Hemodialysis: A Systematic Review and Meta-Analysis of Clinical Trials[J].Clin J Am Soc Nephrol,2021,16(4):560-574.[5]张文川,刘国辉.连续性静脉-静脉血液滤过联合血液灌流对慢性肾衰竭患者Hb,TF水平变化及GQOLI评分的影响[J].云南医药,2020,41(1):59-61.[6]邓晓风,唐玲,万莉,等.不同血液透析模式对尿毒症维持性血液透析患者生长因子-15水平及左心功能的影响[J].中国中西医结合急救杂志,2019,26(4):409-411.[7]葛敬标,尤青,张芳,等.高通量血液透析对慢性肾衰竭尿毒症患者血红蛋白磷全段甲状旁腺素及免疫功能的影响[J].中国药物与临床,2019,19(23):4112-4115.[8]王颖,范佳妮,冯海云.慢性肾衰竭血液透析患者感染病原菌分布及血清NGAL炎性细胞因子水平变化情况[J].中国药物与临床,2019,19(17):2963-2964.[9]李晓丹,李金鑫,解吉雄,等.老年慢性肾衰竭维持性血液透析并发医院感染影响因素及风险预测模型构建[J].中华医院感染学杂志,2022,32(18):2785-2788.[10]李秀文,刘郁.抗Ⅹa因子活性监测在慢性肾功能衰竭患者维持性血液透析中精准抗凝的研究[J].中国实验诊断学,2022,26(2):222-225.[11]罗媛媛,李祯,闫焱.慢性肾衰竭患者维持性血液透析前后眼轴及眼前节生物学参数的变化[J].中华航海医学与高气压医学杂志,2019,26(4):324-327.[12]刘芳,于倩.自拟养血除湿汤配合西替利嗪治疗尿毒症维持性血液透析伴发皮肤瘙痒血虚夹湿型的临床观察[J].辽宁中医杂志,2023,50(2):87-90.[13]廖琳,胡静,孙永康,等.不同方法治疗维持性血液透析并发难治性继发性甲状旁腺功能亢进临床观察[J].山东医药,2023,63(4):27-32.[14]尚春娥,刘冬梅,师璟,等.血液透析串联不同时机血液灌流在维持性血液透析病人中的应用[J].护理研究,2023,37(4):746-749.[15]刘颖,孙艳玲,胡静雅,等.不同血液净化模式对尿毒症患者短期并发症及预后的影响[J].中华肾脏病杂志,2022,38(3):203-210.[16]刘红,回雪玲,刘书馨.不同通量透析对尿毒症患者5年远期预后的影响[J].中国慢性病预防与控制,2022,30(4):286-289.[17]姜小梅,刘鹏程,马琴,等.内源性再输注血液透析滤过在血液透析不宁腿综合征中的应用[J].重庆医学,2022,51(4):563-568.[18]王松岩,李春光,张世英,等.单次高通量血液透析对尿毒症毒素的清除作用及相关因素分析[J].中国实验诊断学,2019,23(10):1783-1785. [19]李颂婷,洪银钗,陈霄汉,等.桃红四物汤加味对尿毒症血液透析患者高凝状态及vWF、TXB2、Hcy水平的影响[J].新中医,2021,53(7):34-38.[20]栾中佼,曾维玲,张晨,等.高通量三醋酸纤维素膜与聚砜膜透析器对维持性血液透析患者透析效果的临床研究[J].中国实用内科杂志,2020,40(12):1015-1019.

相似文献/References:

[1]祁亚轩.不同血液净化方式对维持性血液透析患者残余肾功能影响的临床护理观察[J].医学信息,2018,31(01):167.[doi:10.3969/j.issn.1006-1959.2018.01.066]
　QI Ya-xuan.Clinical Nursing Observation on the Influence of Different Blood Purification Methods on Residual Renal Function in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2018,31(21):167.[doi:10.3969/j.issn.1006-1959.2018.01.066]
[2]易丽华.运动疗法配合护理干预对维持性血液透析患者 营养状况及生活质量的影响[J].医学信息,2018,31(16):175.[doi:10.3969/j.issn.1006-1959.2018.16.056]
　YI Li-hua.Effect of Exercise Therapy Combined with Nursing Intervention on Nutritional Status and Quality of Life in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2018,31(21):175.[doi:10.3969/j.issn.1006-1959.2018.16.056]
[3]刘 艳.三段式康复教育模式在维持性血液透析患者中的应用效果[J].医学信息,2019,32(20):190.[doi:10.3969/j.issn.1006-1959.2019.20.062]
　LIU Yan.Application Effect of Three-stage Rehabilitation Education Mode in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2019,32(21):190.[doi:10.3969/j.issn.1006-1959.2019.20.062]
[4]张媛媛.医护一体化护理干预对慢性肾衰竭患者遵医依从性及生活质量的影响[J].医学信息,2019,32(21):176.[doi:10.3969/j.issn.1006-1959.2019.21.060]
　ZHANG Yuan-yuan.Effect of Integrated Nursing Care Intervention on Compliance and Quality of Life in Patients with Chronic Renal Failure[J].Journal of Medical Information,2019,32(21):176.[doi:10.3969/j.issn.1006-1959.2019.21.060]
[5]丘宝珍.碳酸镧治疗维持性血液透析患者高磷血症的疗效[J].医学信息,2019,32(24):148.[doi:10.3969/j.issn.1006-1959.2019.24.053]
　QIU Bao-zhen.Effect of Lanthanum Carbonate on Hyperphosphatemia in Patients with Maintenance Hemodialysis[J].Journal of Medical Information,2019,32(21):148.[doi:10.3969/j.issn.1006-1959.2019.24.053]
[6]陈爱梅.不同维持性血液透析效果的糖尿病肾病患者营养评估及个性化饮食护理[J].医学信息,2019,32(24):177.[doi:10.3969/j.issn.1006-1959.2019.24.066]
　CHEN Ai-mei.Evaluation of Nutritional Status and Personalized Diet Nursing for Diabetic Nephropathy Patientswith Different Maintenance Hemodialysis Effects[J].Journal of Medical Information,2019,32(21):177.[doi:10.3969/j.issn.1006-1959.2019.24.066]
[7]房 彩,孙蓓蓓,姚 博,等.KDQOL-SF量表评估社区血透中心维持性血液透析患者健康相关生活质量的意义[J].医学信息,2020,33(11):95.[doi:10.3969/j.issn.1006-1959.2020.11.027]
　FANG Cai,SUN Bei-bei,YAO Bo,et al.Significance of KDQOL-SF Scale to Evaluate the Health-related Quality of Life of Maintenance Hemodialysis Patients in Community Hemodialysis Centers[J].Journal of Medical Information,2020,33(21):95.[doi:10.3969/j.issn.1006-1959.2020.11.027]
[8]魏 民.从“中央健，浊阴降”论治慢性肾衰竭[J].医学信息,2020,33(12):155.[doi:10.3969/j.issn.1006-1959.2020.12.050]
[9]梁宏丽.基于Omaha系统的延续性护理模式对维持性血液透析患者行为依从性和钙磷代谢的影响[J].医学信息,2020,33(23):164.[doi:10.3969/j.issn.1006-1959.2020.23.048]
　LIANG Hong-li.Influence of Omaha System-based Continuous Nursing Model on Behavior Compliance and Calcium and Phosphorus Metabolism of Maintenance Hemodialysis Patients[J].Journal of Medical Information,2020,33(21):164.[doi:10.3969/j.issn.1006-1959.2020.23.048]
[10]王利芳,尹彬洁,郭佳玉,等.老年血液透析患者认知衰弱现状及其影响因素分析[J].医学信息,2021,34(03):142.[doi:10.3969/j.issn.1006-1959.2021.03.040]
　WANG Li-fang,YIN Bin-jie,GUO Jia-yu,et al.Analysis of the Current Status of Cognitive Weakness and Its Influencing Factors in Elderly Hemodialysis Patients[J].Journal of Medical Information,2021,34(21):142.[doi:10.3969/j.issn.1006-1959.2021.03.040]

更新日期/Last Update: 1900-01-01