尿毒症性脑病与透析性脑病临床分析

The clinical analysis of uremic encephalopathy and dialysis encephalopathy

目的:讨论维持性血透患者尿毒症性脑病与透析性脑病临床治疗体会。方法:对在商丘市中心医院行常规血液透析出现尿毒症性脑病与透析性脑病62例患者进行分组探讨,A组尿毒症性脑病32例,B组透析性脑病30例。结果:62例患者中11例出现精神异常症状,其中透析性脑病组(B组)占9例,较尿毒症性脑病(A组,2例)明显增多,差异具有统计学意义(P<0.05);而失衡综合征、进行性长期透析、脑血管器质性病变等情况是透析性脑病的常见病因。结论:维持性血液透析出现神经、精神紊乱症状与多因素有关,应积极治疗原发病,减少并发症。

Objective： To discuss the treatment experiences of maintenance hemodialysis patients with uremic encephalopathy and dialysis encephalopathy. Methods： 62 patients with uremic en- cephalopathy and dialysis encephalopathy from Shangqiu Central Hospital were divided into two groups： group A （uremic encephalopathy, 32 cases） , group B （dialysis encephalopathy, 30 ca- ses）. Results ： In the 62 patients, 11 cases showed symptoms of psychiatric disorders, including 9 cases in group B and 2 cases in group A, the differences between 2 groups were statistically signifi- cant （P 〈 0.05 ）. The common pathogeny of dialysis encephalopathy included imbalance syn- drome, progressive long-term dialysis, cerebrovascular organic disease, and so on. Conclusion： Neurological and mental disorders in maintenance hemodialysis patients are attributed to multiple factors. We should actively treat primary disease and reduce complications.