高通量血液透析对维持性血液透析患者甲状旁腺素清除效果及护理体会

Effect of high flux hemodialysis on parathyroid hormone clearance in maintenance hemodialysis patients and nursing experience

目的探讨高通量血液透析对维持性血液透析患者甲状旁腺素清除效果,并讨论护理体会。方法选取2016年1~12月在我院就诊的94例维持性血液透析患者作为研究对象,按随机数字表法分为对照组和观察组,每组各47例。对照组患者采取普通血液透析联合常规护理,观察组患者采取高通量血液透析联合舒适护理。观察比较两组患者血液透析后甲状旁腺素清除效果,并对其进行护理效果讨论。结果治疗后,两组患者血钙水平及清除率比较,差异无统计学意义(P>0.05),观察组患者血鳞清除率明显高于对照组(P<0.05);对照组甲状腺旁腺素水平高于观察组,甲状旁腺素清除率低于观察组(P<0.05);观察组患者护理满意度为97.87%明显优于对照组(76.6%),差异均有统计学意义(P<0.05)。结论高通量血液透析对于维持性血液透析患者甲状旁腺素清除具有良好的临床效果,集合相关护理措施对患者疗效亦具有积极影响,值得临床推广应用。

Objective To investigate the effect of high flux hemodialysis on parathyroid hormone clearance in mainte- nance hemodialysis patients,and discuss nursing experience.Methods From January to December 2016,94 patients with maintenance hemodialysis in our hospital were selected as the research objects.They were divided into the control group and the observation group by the random number table method,47 cases in each group.The control group was treated with routine hemodialysis combined with routine nursing.The observation group was treated with high flax hemodialysis combined with comfortable nursing.The effect of parathyroid hormone removal after hemodialysis in two groups was ob- served and compared,and the nursing effect was discussed.Results After treatment,there was no significant difference in serum calcium level and clearance rate between the two groups （P〉0.05）,and the clearance rate of blood phosphorus in the observation group was significantly higher than that in the control group （P〈0.05）.The parathyroid hormone levels in the control group were higher than those in the observation group,and the clearance rate of parathyroid hormone was lower than that in the observation group （P〈0.05）.The satisfaction degree of nursing in the observation group （97.87%） was obviously better than that in the control group （76.6%）, the differences were statistically significant （P〈0.05）.Con- clusion High flux hemodialysis has good clinical effect on parathyroid hormone removal in maintenance hemodialysis patients,and the related nursing measures also have positive effects on the curative effect of patients.It is worthy of clinical application.