不同血管通路在老年维持性血液透析患者中的应用效果对比

Comparison on the Application Effects of Different Vascular Pathways in Elderly Patients with Maintenance Hemodialysis

目的对比两种不同血管通路在老年维持性血液透析患者中的应用效果。方法选择2021年4月至2023年5月我院收治的88例老年维持性血液透析患者,根据不同透析血管通路分为透析导管组和动静脉内瘘组,比较两组的钙磷代谢情况、血清炎性因子以及不良反应。结果透析后,动静脉内瘘组的血磷、血钙均显著低于透析导管组,血清β2-MG、IL-6水平均显著低于透析导管组(P<0.05)。动静脉内瘘组的不良反应总发生率显著低于透析导管组(P<0.05)。结论动静脉内瘘作为透析血管通路的效果较好,可改善老年维持性血液透析患者的钙磷代谢,减轻炎性反应,减少不良反应的发生。

Objective To compare the application effects of different vascular pathways in elderly patients with maintenance hemodialysis.Methods 88 elderly patients with maintenance hemodialysis admitted to our hospital from April 2021 to May 2023 were selected and divided into the dialysis catheter group and the arteriovenous fistula group according to different dialysis vascular pathways.The calcium and phosphorus metabolism,serum inflammatory factors and adverse reactions were compared between the two groups.Results After dialysis,the levels of serum phosphorus and calcium in the arteriovenous fistula group were significantly lower than those in the dialysis catheter group,and the levels of serumβ2-MG and IL-6 were significantly lower than those in the dialysis catheter group(P<0.05).The total incidence of adverse reactions in the arteriovenous fistula group was significantly lower than that in the dialysis catheter group(P<0.05).Conclusions Arteriovenous fistula has good effect as a dialysis vascular pathway,which can improve the calcium and phosphorus metabolism ofelderly patients with maintenance hemodialysis,relieve the inflammatory reaction and reduce the occurrence of adverse reactions.