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老年慢性肾衰竭患者开始血液透析时机的观察 被引量:9

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摘要 目的探讨老年血液透析患者较理想的透析时机。方法 56例老年慢性肾衰竭患者分两组,A组开始透析时肾小球滤过率(GFR)为10ml/min,B组开始透析时GFR为6ml/min,观察两组患者在透析前、透析3个月时的血压、尿素氮、肌酐、血红蛋白、血清总蛋白、白蛋白和各种并发症,比较两组患者不同开始透析时机之间的差异。结果 (1)两组透析后血尿素氮、肌酐均明显下降,但两组间比较,差异无统计学意义(P>0.05)。(2)两组透析治疗3个月后,血红蛋白、血清总蛋白、白蛋白虽较透析前有明显升高,但B组明显低于A组,差异有统计学意义(P<0.05)。(3)B组并发症较A组明显增多。结论老年血液透析患者开始透析时GFR为10ml/min组的疗效明显优于GFR为6ml/min组,提示老年慢性肾衰竭患者应及时透析,以减少并发症,提高生活质量。
出处 《中华保健医学杂志》 2013年第2期177-178,共2页 Chinese Journal of Health Care and Medicine
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