透析频次对肾性贫血的影响

Influence of Dialysis Frequency on Renal Anemia

目的:观察每周不同血液透析频次对维持性血液透析患者贫血的影响。方法:2017年7月-2020年7月收治维持性血液透析患者56例,根据每周规律血液透析频次分为两组,分别为每周规律血液透析3次组及每周规律血液透析2次组。比较两组患者红细胞、血红蛋白、血细胞比容等指标水平。结果:两组治疗前红细胞、血红蛋白及血细胞比容水平比较,差异无统计学意义(P>0.05);治疗3个月后,两组红细胞、血红蛋白、血细胞比容均较治疗前升高,差异有统计学意义(P<0.05);但是每周透析3次组各项指标水平高于每周透析2次组,差异有统计学意义(P<0.05)。结论:对于维持性血液透析患者,每周血液透析3次,可以更好地改善肾性贫血,提高治疗效果。

Objective:To observe the influence of different hemodialysis frequency per week on anemia in maintenance hemodialysis patients.Methods:From July 2017 to July 2020,56 patients with maintenance hemodialysis were selected,they were divided into the two groups according to the weekly hemodialysis frequency:regular hemodialysis 3 times a week group and regular hemodialysis twice a week group.The red blood cells,hemoglobin,hematocrit and other indicators were compared between the two groups.Results:There was no significant difference in the levels of red blood cells,hemoglobin and hematocrit between the two groups before treatment(P>0.05).After 3 months of treatment,the red blood cells,hemoglobin,and hematocrit of the two groups were all higher than those before treatment,the differences were statistically significant(P<0.05).However,the level of various indicators in the group of 3 times a week dialysis was higher than that in the group of twice a week,the difference was statistically significant(P<0.05).Conclusion:For maintenance hemodialysis patients,hemodialysis 3 times a week can better improve renal anemia and improve the treatment effect.