不同血液透析对维持性血液透析患者钙磷代谢的影响观察

Effect of different Hemodialysis on calcium and Phosphorus Metabolism in Maintenance Hemodialysis Patients

目的:探讨维持性血液透析患者选用不同血液透析方案治疗的价值。方法:选2017年12月至2020年01月区间收治68例维持性血液透析患者研究,均分为两组(随机信封法),对照组34例选用普通透析(HD),观察组34例选用血液透析滤过(HDF),统计两组临床指标、并发症发生率。结果:观察组透析后钙、钙磷乘积高于对照组,磷、iPTH低于对照组(P<0.05)。观察组并发症发生率(2.94%)低于对照组(20.59%),具有统计学意义(χ^2=5.1000,P<0.05)。结论:将HDF应用在维持性血液透析治疗中对降低并发症发生率,改善钙磷代谢代谢水平,效果理想。

Objective:To explore the value of different hemodialysis regimens for maintenance hemodialysis patients.Methods:A study of 68 patients with maintenance hemodialysis treated between December 2017 and January 2020 was divided into 2 groups(random envelope method),34 patients in the control group were selected for normal dialysis(HD),and 34 patients in the observation group were selected Hemodiafiltration(HDF),statistical indicators of the two groups,the incidence of complications.Results:The product of calcium and calcium and phosphorus in the observation group after dialysis was higher than that in the control group,and phosphorus and iPTH were lower than that in the control group.The data comparison was(P<0.05).The incidence of complications in the observation group(2.94%)was lower than that in the control group(20.59%),(χ2=5.1000,P<0.05).Conclusion:The application of HDF in maintenance hemodialysis can reduce the incidence of complications and improve the level of calcium and phosphorus metabolism.