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目的:观察不同血液透析方式对终末期肾病患者心血管并发症的影响。方法:48例慢性肾功能衰竭患者随机分为常规透析(CHD)组和每日短时透析(DHD)组,观察两组患者心胸比率(CTR)、左心室质量指数(LVMI)、心功能、血清钙、磷、甲状旁腺素水平以及血红蛋白和血清白蛋白和肾功能等指标的变化,评价不同透析方式对患者心血管并发症的影响。结果:两组患者肾功能均较透析前改善,但与常规透析组相比,DHD组患者心胸比率和左心室质量指数下降;血磷水平下降;血红蛋白和血清白蛋白水平明显提高。结论:DHD透析可以明显降低患者血磷水平,减小心胸比率和左心室质量指数,减少心血管并发症的发生。
Objective: To observe the effect of different hemodialysis methods on cardiovascular complications in patients with end-stage renal disease. Methods: Forty-eight chronic renal failure patients were randomly divided into routine dialysis (CHD) group and daily short-term dialysis (DHD) group. The cardiac and chest rate (CTR), left ventricular mass index (LVMI), cardiac function, Serum calcium, phosphorus, parathyroid hormone levels and hemoglobin and serum albumin and renal function and other indicators of change, to evaluate the impact of different dialysis on patients with cardiovascular complications. Results: Compared with those before dialysis, renal function in both groups improved compared with those before dialysis. Compared with conventional dialysis group, cardiothoracic ratio and left ventricular mass index decreased in patients with DHD, blood phosphorus level decreased, hemoglobin and serum albumin levels increased significantly. Conclusion: DHD dialysis can significantly reduce the level of phosphorus in patients, reduce the ratio of cardiothoracic and left ventricular mass index, reduce the incidence of cardiovascular complications.