血液净化治疗老年终末期肾衰的临床分析

Blood purification treatment of the end stage renal failure

目的探讨老年人终末期肾衰的血液净化治疗方法及其并发症的防治。方法以常规血液透析为主,每月给予血液透析滤过2次,血液透析联合血液灌流1次,透析时间3～4.5h,每周大于8h。结果1～3年生存16例(42.1%),3～5年生存12例(31.6%),5年以上生存6例(15.8%),4例(10.5%)透析不到1年死亡。常见透析相关并发症主要有:①低血压;②充血性心力衰竭;③感染;④低血糖。结论选择适宜的血液净化治疗,可提高老年终末期肾衰患者的生存率,改善生活质量。

Objective To investigate the elderly end-stage renal failure and hemodialysis treatment for the prevention and treatment of complications. Methods Using conventional hemodialysis, hemodiafihration was performed 2 times every month,and the joint hemoperfusion hemodialysis once per month.Dialysis time was more than eight hours per week. Results 1-3-year survival of 16 cases （42.1%）, 3-5-year survival of 12 cases （31.6%）, and more than 5-year survival of six cases （15.8%）.4 cases （10.5%） died in less than 1 year of dialysis. Common dialysis-relatedcomplications consisted of： （1） hypotension; （2） congestive heart failure; （3） infection; （4） hypoglycemia. Conclusion Suitable blood purification treatment can improve the end stage renal failure in old patients.