摘要
目的 研究不同透析方案对患者预后的影响。方法 维持透析患者根据其透析方案的不同分为两组,HD组79例,HDF组42例,回顾性分析两组患者1、3、5年死亡率。并对其中65例患者的营养状况、并发症通过调查表、化验检查的方法进行比较。结果 HDF组在透析效率、营养状况、心血管并发症及死亡率方面均优于HD组(P<0.05)。结论 HD联合HDF治疗有利于患者的预后。
Objective To study the prognosis of different dialysis modalities in maintenance hemodialysis patients. Methods One hundred and twenty - one 121 patients who started renal replacement therapy on HD or HD/HDF between 1997 and 2002 were considered. Seventy - nine patients were treated with HD, the other 42 patients with hemodiafiltra-tion and hemodialysis, mortality were calculated. Sixty - five patients(40 patients with HD,25 with HD/HDF) were studied retrospectively, to eliminate confounding factors, low - molecular efficacy was matched (KT/V 1.50 - 1.60), and the same membrane material (polysulfone),ultrapure dialysate and the same treatment duration (4.5h)were applied to each group. The serum Alb,PA,BUN were measured, the complications were collected,KT/V,MS were calculated. Results Nutrition status, dosage of blood transfusion and erythropoietin, mortality, cardiovascular morbidity differed in two groups, dialysis - associated hypotensive episodes, hemoglobine did not differ in two groups. Conclusion On - line HDF offers a better cardiocascur stability and clinical improvement. Once a month HDF treatment can also offer a significant benefit when compared with standard hemodialysis. HD combined HDF is a better treatment for maintenance hemodialysis patients.
出处
《中国血液净化》
2003年第4期198-200,226,共4页
Chinese Journal of Blood Purification
