|
|
|
| Effect of Hemodialysis Combined with Hemodiafiltration and Hemoperfusion on Renal Anemia in Patients |
| MIAO Changxian, BAO Pin, YAN Xiaolu, et al |
| Dalian Third People's Hospital, Liaoning Dalian 116033, China |
|
|
|
|
Abstract Objective: To explore the effect of hemodialysis combined with hemodiafiltration and hemoperfusion on renal anemia in patients. Methods: 100 patients who underwent maintenance hemodialysis in our hospital from August 2018 to April 2020 were selected. According to the simple random number method, they were divided into group A (hemodialysis combined with hemodiafiltration) and group B (hemodialysis combined with hemoperfusion), with 50 cases in each group. The renal anemia indicators [hemoglobin (Hb), hematocrit (Hct), reticulocyte percentage (Ret), serum iron] and blood calcium, blood phosphorus and parathyroid hormone (iPTH) were compared between the two groups before and after treatment, and the incidence rate of adverse events was counted in the two groups. Results: After treatment, Hb, Hct, Ret and serum iron were significantly higher than those in group A (P<0.05). After treatment, the blood calcium level in group B was significantly higher than that in group A while the levels of blood phosphorus and iPTH were significantly lower than those in group A (P<0.05). The incidence rate of adverse reactions in group B was significantly lower than that in group A (P<0.05). Conclusion: Compared with hemodialysis combined with hemodiafiltration can more effectively correct renal anemia, reduce iPTH level and improve calcium and phosphorus metabolism in patients with maintenance hemodialysis.
|
|
|
|
|
|
[1] 李秀花,孟彦.血液透析滤过联合血液灌流治疗对终末期糖尿病肾病患者胰岛素抵抗及营养状态的影响[J].中西医结合心血管病电子杂志,2017,5(32):41.
[2] 程利娜,陈新.血液透析滤过联合血液灌流对糖尿病肾病维持性血液透析患者营养状况的影响[J].临床合理用药杂志,2017,10(32):118~119.
[3] 梁江红,邹宜杏,罗燕妮,等.高通量透析与血液灌流串联血液透析滤过对血液透析患者的影响[J].实用医院临床杂志,2018,15(4):180~183.
[4] 唐俊,左满花,黄德斌,等.不同血液净化模式对终末期肾病患者的自身免疫、炎症应激及生活质量的影响[J].中国现代医学杂志,2017,27(28):22~28.
[5] 姜维.联机血液透析滤过联合血液灌流对终末期肾病患者血CTGF、NT-ProBNP水平的影响[J].内科急危重症杂志,2017,23(5):405~406.
[6] 赵芳芳.联合应用不同血液净化技术对血液透析患者可溶性转铁蛋白受体和肾性贫血的影响[J].中国医药导报,2018,18(19):653~655.
[7] 李香玲,孙桂玲,袁红英,等.不同血液净化方式对慢性肾衰竭患者认知功能、生活质量及营养状况的影响[J].中华行为医学与脑科学杂志,2016,21(2):149~151. |
|
|
|
2021, Vol. 27 
