Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis
目的探讨3种血液净化方式联合骨化三醇注射液治疗尿毒症血液透析患者矿物质及骨代谢异常的差异。方法 60例维持性血液透析(MHD)患者,随机分为血液透析(HD)组、血液透析滤过(HDF)组、血液透析+血液灌流(HD+HP)组,每组患者20例,所有患者均使用骨化三醇注射液治疗,测定入选时及随访1个月和6个月后血钙、血磷、血甲状旁腺素(iPTH)。结果治疗前3组患者血清钙、磷、iPTH水平差异无统计学意义(P>0.05)。治疗1个月及6个月后,患者血钙、血磷水平,3组间两两比较差异无统计学意义(P>0.05)。3组患者血iPTH下降。HD组iPTH水平治疗1个月与治疗前比较差异无统计学意义...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2019-01-01
|
| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57912273&Fpath=home&index=0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850187095114514432 |
|---|---|
| author | HE Gui-fang CHEN Wen-li LAI Yan-hua LI Zhao-hui LI Zeng-lei |
| author_facet | HE Gui-fang CHEN Wen-li LAI Yan-hua LI Zhao-hui LI Zeng-lei |
| author_sort | HE Gui-fang |
| collection | DOAJ |
| description | 目的探讨3种血液净化方式联合骨化三醇注射液治疗尿毒症血液透析患者矿物质及骨代谢异常的差异。方法 60例维持性血液透析(MHD)患者,随机分为血液透析(HD)组、血液透析滤过(HDF)组、血液透析+血液灌流(HD+HP)组,每组患者20例,所有患者均使用骨化三醇注射液治疗,测定入选时及随访1个月和6个月后血钙、血磷、血甲状旁腺素(iPTH)。结果治疗前3组患者血清钙、磷、iPTH水平差异无统计学意义(P>0.05)。治疗1个月及6个月后,患者血钙、血磷水平,3组间两两比较差异无统计学意义(P>0.05)。3组患者血iPTH下降。HD组iPTH水平治疗1个月与治疗前比较差异无统计学意义(P>0.05);治疗6个月与治疗前及治疗1个月比较,差异有统计学意义(P<0.05)。HDF组和HD+HP组iPTH水平治疗1个月、6个月与治疗前比较明显下降,差异有统计学意义(P<0.05)。HD+HP组iPTH水平治疗6个月和治疗1个月比较,差异有统计学意义(P>0.05)。治疗6个月时,iPTH水平HD+HP组与HD组、HDF组比较,差异有统计学意义(P<0.05)。结论对并发矿物质及骨代谢异常的维持性血液透析患者而言,血液透析滤过及血液透析+血液灌流联合骨化三醇注射液治疗更可有效控制矿物质及骨代谢异常,血液透析+血液灌流可以显著降低血iPTH和改善患者临床症状。 |
| format | Article |
| id | doaj-art-a8c632fd87e84e2f81400a713c057ce5 |
| institution | OA Journals |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2019-01-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
| record_format | Article |
| series | Linchuang shenzangbing zazhi |
| spelling | doaj-art-a8c632fd87e84e2f81400a713c057ce52025-08-20T02:16:10ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902019-01-0145345557912273Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysisHE Gui-fangCHEN Wen-liLAI Yan-huaLI Zhao-huiLI Zeng-lei目的探讨3种血液净化方式联合骨化三醇注射液治疗尿毒症血液透析患者矿物质及骨代谢异常的差异。方法 60例维持性血液透析(MHD)患者,随机分为血液透析(HD)组、血液透析滤过(HDF)组、血液透析+血液灌流(HD+HP)组,每组患者20例,所有患者均使用骨化三醇注射液治疗,测定入选时及随访1个月和6个月后血钙、血磷、血甲状旁腺素(iPTH)。结果治疗前3组患者血清钙、磷、iPTH水平差异无统计学意义(P>0.05)。治疗1个月及6个月后,患者血钙、血磷水平,3组间两两比较差异无统计学意义(P>0.05)。3组患者血iPTH下降。HD组iPTH水平治疗1个月与治疗前比较差异无统计学意义(P>0.05);治疗6个月与治疗前及治疗1个月比较,差异有统计学意义(P<0.05)。HDF组和HD+HP组iPTH水平治疗1个月、6个月与治疗前比较明显下降,差异有统计学意义(P<0.05)。HD+HP组iPTH水平治疗6个月和治疗1个月比较,差异有统计学意义(P>0.05)。治疗6个月时,iPTH水平HD+HP组与HD组、HDF组比较,差异有统计学意义(P<0.05)。结论对并发矿物质及骨代谢异常的维持性血液透析患者而言,血液透析滤过及血液透析+血液灌流联合骨化三醇注射液治疗更可有效控制矿物质及骨代谢异常,血液透析+血液灌流可以显著降低血iPTH和改善患者临床症状。http://www.lcszb.com/thesisDetails?columnId=57912273&Fpath=home&index=0血液透析血液透析滤过血液灌流矿物质及骨代谢异常骨化三醇注射液 |
| spellingShingle | HE Gui-fang CHEN Wen-li LAI Yan-hua LI Zhao-hui LI Zeng-lei Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis Linchuang shenzangbing zazhi 血液透析 血液透析滤过 血液灌流 矿物质及骨代谢异常 骨化三醇注射液 |
| title | Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| title_full | Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| title_fullStr | Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| title_full_unstemmed | Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| title_short | Treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| title_sort | treatment effectiveness of different blood purification modes for mineral and bone metabolism disorder in patients with maintenance hemodialysis |
| topic | 血液透析 血液透析滤过 血液灌流 矿物质及骨代谢异常 骨化三醇注射液 |
| url | http://www.lcszb.com/thesisDetails?columnId=57912273&Fpath=home&index=0 |
| work_keys_str_mv | AT heguifang treatmenteffectivenessofdifferentbloodpurificationmodesformineralandbonemetabolismdisorderinpatientswithmaintenancehemodialysis AT chenwenli treatmenteffectivenessofdifferentbloodpurificationmodesformineralandbonemetabolismdisorderinpatientswithmaintenancehemodialysis AT laiyanhua treatmenteffectivenessofdifferentbloodpurificationmodesformineralandbonemetabolismdisorderinpatientswithmaintenancehemodialysis AT lizhaohui treatmenteffectivenessofdifferentbloodpurificationmodesformineralandbonemetabolismdisorderinpatientswithmaintenancehemodialysis AT lizenglei treatmenteffectivenessofdifferentbloodpurificationmodesformineralandbonemetabolismdisorderinpatientswithmaintenancehemodialysis |