血液透析联合腹膜透析对尿毒症患者心功能及营养状态的影响

Impact of Hemodialysis Combined with Peritoneal Dialysis on Cardiac Function and Nutritional Status of Uremic Patients

目的探讨血液透析联合腹膜透析对尿毒症患者心功能及营养状态的影响。方法98例尿毒症患者随机分为两组各49例,对照组采用腹膜透析治疗,观察组采用血液透析联合腹膜透析治疗,比较两组治疗前后的心功能、营养状态以及并发症。结果治疗后,两组的LVEF、Hb含量、Alb含量均较治疗前显著升高,且观察组的各项指标均显著高于对照组(P<0.05)。观察组的并发症发生率为8.16%,显著低于对照组的24.49%(P<0.05)。结论血液透析联合腹膜透析治疗尿毒症的效果显著,可有效改善患者的心功能和营养状态,且并发症发生率较低。

Objective To explore the impact of hemodialysis combined with peritoneal dialysis on cardiac function and nutritional status of uremic patients.Methods 98 cases of uremic patients were randomly divided into two groups,with 49 cases in each group.The control group was treated with peritoneal dialysis,while the observation group was treated with hemodialysis combined with peritoneal dialysis.The cardiac function and nutritional status before and after treatment,and the complications were compared between the two groups.Results After treatment,LVEF,Hb content and Alb content in the two groups were significantly higher than those before treatment,and the above indicators in the observation group were significantly higher than those in the control group(P<0.05).The incidence of complications in the observation group was 8.16%,significantly lower than 24.49%in the control group(P<0.05).Conclusions Hemodialysis combined with peritoneal dialysis in the treatment of uremia has significant effect,which can effectively improve the cardiac function and nutritional status of patients,with low incidence of complications.