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| Study of the Effects of Hemodialysis and Hemofiltration on Cardiovascular Stability in Patients with Chronic Renal Failure |
| WANG Zhiyin, HE Min, WAN Jun |
| The Central Hospital of Bazhong, Sichuan Bazhong 636000, China |
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Abstract Objective: To study the effects of hemodialysis (HD) and hemofiltration (HF) on cardiovascular stability in patients with chronic renal failure (CRF).Methods: A total of 104 CRF patients who underwent blood purification treatment from August 2018 to August 2019 were selected for the study and were randomly divided into CVVH group and HD group (each n=52).The two groups were given routine symptomatic support, and CVVH group was given CVVH on this basis, and HD group was given MHD, and the two groups were treated for 3 months.The dialysis effects, expression levels of inflammatory factors, hemodynamic indexes and prognosis were compared between the two groups.Results: After 3 months treatment, there were no significant differences in the GFR, Kt/V, nPCR and TACU between the two groups (P>0.05).Serum Scr and BUN levels were significantly decreased in the two groups (P<0.05), and the levels of serum PTH and β2-MG were significantly decreased in CVVH group (P<0.05), and the levels of PTH and β2-MG in CVVH group were lower than those in HD group (P<0.05).The serum IL-10 level in the two groups was significantly increased (P<0.05) while the levels of serum CRP and IL-6 levels were significantly decreased (P<0.05), and the level of IL-10 in CVVH group was higher than that in HD group while the levels of CRP and IL-6 were lower than those in HD group (P<0.05).The GEDVI The ITBVI and EVLWI were significantly decreased in the two groups (P<0.05), and the GVVI, ITBVI and EVLWI in CVVH group were lower than those in HD group (P<0.05).Results of 3 years follow-up showed that the incidence rates of CVD in CVVH group and HD group were 32.69% and 53.85% (P<0.05), and the cardiogenic death rates were 15.38% and 28.85% respectively (P>0.05).Conclusion: HD and CVVH can effectively promote the clearance of small molecule toxins in CRF patients, and CVVH has a good scavenging effect on medium macromolecular toxins, and it is beneficial to improve the body microinflammation states and maintain cardiovascular stability, thereby reducing the risk of adverse events such as CVD and cardiac death.
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2020, Vol. 26 
