糖尿病肾功能衰竭患者维持性血液透析并发症分析

Analysis of complications of maintenance hemodialysis in patients with diabetic renal failure

目的:分析糖尿病肾功能衰竭患者维持性血液透析并发症。方法:2017年5月-2018年6月收治血液净化中心患者60例,分为两组,各30例。对照组为糖尿病合并肾脏功能衰竭症患者;观察组为单纯性肾脏功能衰竭症患者。两组均行中心静脉的置管操作,分析两组效果。结果:两组接受临床治疗前期,均处于营养不良状态。在经过为期3~12个月治疗后,营养不良状况改善效果较突出,50%患者在12个月治疗后,营养均衡变化情况较显著,差异无统计学意义(P>0.05);两组3个月、6个月及12个月内死亡率比较,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:对于糖尿病合并肾脏功能衰竭症的患者,实施长期维持性血液透析,可有效控制患者血压及血糖指标,给予患者营养支持可抑制相关并发症出现。

Objective:To analyze the complications of maintenance hemodialysis in patients with diabetic renal failure.Methods:60 patients in the blood purification center were selected from May 2017 to June 2018,they were divided into the two groups with 30 cases in each group.The control group was diabetic patients with renal failure,the observation group was simple renal failure.Central vein catheterization was performed in both groups.We analyzed the effect of the two groups.Results:Both groups were in malnutrition state before clinical treatment.After 3~12 months of treatment,the improvement of malnutrition was more prominent.After 12 months of treatment,the change of nutrition balance was more significant in 50%of patients,there was no significant differenc(P>0.05).There was no significant difference in mortality between the two groups at 3 months,6 months,and 12 months.The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:For diabetic patients with renal failure,long-term maintenance hemodialysis can effectively control the blood pressure and blood glucose index,provide nutritional support for patients,and inhibit the occurrence of related complications.