Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients

Objective To investigate the effects of hemoperfusion(HP)associated with hemodialysis(HD)on the mineral metabolism of maintenance hemodialysis(MHD)patients with uremia.Methods 110 MHD patients in the Hemopurification Center of Xinxiang from January2012 to August2013 were enrolled in this study.Accor...

Full description

Saved in:
Bibliographic Details
Main Authors: YANG Fu-yan, SONG Juan, DUAN Kun
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2017-01-01
Series:Linchuang shenzangbing zazhi
Subjects:
Online Access:http://www.lcszb.com/thesisDetails?columnId=57917202&Fpath=home&index=0
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850143229205282816
author YANG Fu-yan
SONG Juan
DUAN Kun
author_facet YANG Fu-yan
SONG Juan
DUAN Kun
author_sort YANG Fu-yan
collection DOAJ
description Objective To investigate the effects of hemoperfusion(HP)associated with hemodialysis(HD)on the mineral metabolism of maintenance hemodialysis(MHD)patients with uremia.Methods 110 MHD patients in the Hemopurification Center of Xinxiang from January2012 to August2013 were enrolled in this study.According to random number table method,110 cases of MHD were divided into two groups.Fifty-five patients with uremia in hemodialysis(HD)group received 3 times of routine HD treatments per week,and 55 patients with uremia in HP+HD group received one time of HP plus HD(HP+HD)and 2 times of routine HD treatment.The routine treatment time was 4h.The evaluation indexes of all patients were collected one day before HD and 3 months after treatment,including serum calcium,serum phosphorus,intact parathyroid hormone(iPTH)and alkaline phosphatase(ALP).Results There were no statistically significant differences in the levels of serum calcium,phosphorus,iPTH and ALP between two groups before treatment(P>0.05 for all).After treatment for 3 months,the level of serum phosphorus was significantly lower than that before treatment in the HD group.In the HP+HD group,the levels of serum phosphorus,iPTH and ALP were significantly decreased after treatment(P<0.01),and the level of serum calcium was higher than that before treatment.The level of serum calcium was higher in HD group than that in HD+HP group(P<0.05),and the level of serum ALP was obviously decreased in HD+HP group(P<0.05)after treatment.The levels of serum phosphorus and iPTH in HP+HD group were decreased significantly after treatment(all P<0.01).Conclusions As compared with ordinary HD,HP+HD can effectively remove serum phosphorus and decrease the iPTH and ALP,thus improving the abnormal mineral metabolism of MHD patients with uremia.
format Article
id doaj-art-ae70d688cb7f4bb0b217a052b6b7ec73
institution OA Journals
issn 1671-2390
language zho
publishDate 2017-01-01
publisher Editorial Department of Journal of Clinical Nephrology
record_format Article
series Linchuang shenzangbing zazhi
spelling doaj-art-ae70d688cb7f4bb0b217a052b6b7ec732025-08-20T02:28:46ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902017-01-0128228657917202Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patientsYANG Fu-yanSONG JuanDUAN KunObjective To investigate the effects of hemoperfusion(HP)associated with hemodialysis(HD)on the mineral metabolism of maintenance hemodialysis(MHD)patients with uremia.Methods 110 MHD patients in the Hemopurification Center of Xinxiang from January2012 to August2013 were enrolled in this study.According to random number table method,110 cases of MHD were divided into two groups.Fifty-five patients with uremia in hemodialysis(HD)group received 3 times of routine HD treatments per week,and 55 patients with uremia in HP+HD group received one time of HP plus HD(HP+HD)and 2 times of routine HD treatment.The routine treatment time was 4h.The evaluation indexes of all patients were collected one day before HD and 3 months after treatment,including serum calcium,serum phosphorus,intact parathyroid hormone(iPTH)and alkaline phosphatase(ALP).Results There were no statistically significant differences in the levels of serum calcium,phosphorus,iPTH and ALP between two groups before treatment(P>0.05 for all).After treatment for 3 months,the level of serum phosphorus was significantly lower than that before treatment in the HD group.In the HP+HD group,the levels of serum phosphorus,iPTH and ALP were significantly decreased after treatment(P<0.01),and the level of serum calcium was higher than that before treatment.The level of serum calcium was higher in HD group than that in HD+HP group(P<0.05),and the level of serum ALP was obviously decreased in HD+HP group(P<0.05)after treatment.The levels of serum phosphorus and iPTH in HP+HD group were decreased significantly after treatment(all P<0.01).Conclusions As compared with ordinary HD,HP+HD can effectively remove serum phosphorus and decrease the iPTH and ALP,thus improving the abnormal mineral metabolism of MHD patients with uremia.http://www.lcszb.com/thesisDetails?columnId=57917202&Fpath=home&index=0HemodialysisSerum calciumSerum phosphorusIntact parathyroid hormoneAlkaline phosphatase
spellingShingle YANG Fu-yan
SONG Juan
DUAN Kun
Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
Linchuang shenzangbing zazhi
Hemodialysis
Serum calcium
Serum phosphorus
Intact parathyroid hormone
Alkaline phosphatase
title Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
title_full Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
title_fullStr Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
title_full_unstemmed Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
title_short Effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
title_sort effects of hemoperfusion associated with hemodialysis on the mineral metabolism of maintenance hemodialysis patients
topic Hemodialysis
Serum calcium
Serum phosphorus
Intact parathyroid hormone
Alkaline phosphatase
url http://www.lcszb.com/thesisDetails?columnId=57917202&Fpath=home&index=0
work_keys_str_mv AT yangfuyan effectsofhemoperfusionassociatedwithhemodialysisonthemineralmetabolismofmaintenancehemodialysispatients
AT songjuan effectsofhemoperfusionassociatedwithhemodialysisonthemineralmetabolismofmaintenancehemodialysispatients
AT duankun effectsofhemoperfusionassociatedwithhemodialysisonthemineralmetabolismofmaintenancehemodialysispatients