糖尿病合并肾病血液透析治疗及临床预后分析

Analysis of hemodialysis treatment and clinical prognosis of patients with diabetes combined with renal disease

目的:探讨血液透析治疗糖尿病合并肾病患者的效果及预后。方法:64例糖尿病合并肾病患者分为对照组和研究组各32例,对照组给予间歇性血液透析治疗,研究组给予每天持续低效血液透析治疗。对比两组患者摆脱替代治疗时间、不良反应情况、随访1年死亡率以及治疗前后BUN与Scr。结果:研究组摆脱替代治疗时间,随访1年死亡率,低血压、低血糖、感染、心衰发生率均显著低于对照组(P<0.05);治疗后,两组BUN与Scr均有改善(P<0.05),但研究组改善更显著(P<0.05)。结论:持续低效血液透析治疗糖尿病合并肾病患者能够更好地改善BUN与Scr,缩短摆脱替代治疗时间,减少不良反应,提高远期生存率。

Objective:To explore the effect and prognosis of hemodialysis in the treatment of patients with diabetes combined withrenal disease.Methods:64 patients with diabetes combined with renal disease were divided into the control group and the studygroup with 32 cases in each.The control group was given intermittent hemodialysis treatment.The study group was given dailysustained low efficiency hemodialysis treatment.The away from alternative treatment time,adverse reactions,follow-up 1 yearmortality,BUN and Scr before and after treatment were compared between groups.Results:The away from alternative treatmenttime,follow-up 1 year mortality,the incidence rates of hypotension,hypoglycemia,infection,heart failure in the study group weresignificantly lower than those of the control group(P<0.05).After treatment,BUN and Scr of two groups were improved(P<0.05),but the study group improved more significantly(P<0.05).Conclusion:Sustained low efficiency hemodialysis in the treatment ofpatients with diabetes combined with renal disease can better improve the BUN and Scr,shorten the away from alternativetreatment time,reduce the adverse reactions,improve the long-term survival rate.