相關論文

血液淨化方式對甲狀旁腺激素及血清鈣磷的臨床研究

時間 :  2016-09-26

發布時間︰2011-02-16

甦春曉

廣東省汕尾市人民醫院,汕尾516600

摘要︰ 目的︰探討不同血液淨化方式對尿毒癥患者甲狀旁腺激素及血清鈣磷的臨床療效影響;方法︰將需要進行血液透析的30例尿毒癥患者隨機分為血液透析濾過(HDF)、血液透析加血液灌流(HD+HP)組兩組各15例,各組每2W常規血液透析(HD)治療5次,將記錄透析前後各種相關指證進行比較。結果︰兩組均可使血清中的鈣、磷和PTH值下降。首次治療清除效果均顯著(P〈0.01);再次治療時,血清鈣、磷的下降不及PTH下降明顯,但血液透析加血液灌流組較HDF組清除血清鈣、磷明顯(P〈0.05);結論︰血液透析加血液灌流能有效地清除尿毒癥患者血清中的鈣、磷和PTH,且優于血液透析濾過,有臨床研究價值。
Abstract︰ Objective︰To explore the impact of different methods of blood purification on uremia patients with parathyroid hormone and serum calcium and phosphorus in the clinical curative effect;Methods︰30 cases of uremia hemodialysis patients were randomly divided into hemodiafihration(HDF),Hemodialysis and hemoperfusion (HD+HP)group of 1 5.Every 2W conventional hemodialysis (HD)treatment 5 times,in each group,before and after dialysis recorded is compared with all relevant evidence.Results︰The two groups can make serum calcium.phosphorus and PrrH values decreased.Clear effects of initial treatment were significantly (P<0.01);another treatment,serum calcium,phosphorus declined less than the PTH significantly,but the HP+HD group is more obvious than in HDF group for cleared serum calcium,phosphorus significantly(P<0.05);Conclusion︰HP+HD can remove uremic serum calcium,phosphorus and PTH,and better than the HDF,which has a clinical research value.
關鍵詞︰ 血液淨化方式;甲狀旁腺激素;血清鈣磷
Key words︰blood purification;parathyroid hormone;serum calcium and phosphorus

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