不同血液净化方式对尿毒症患者动脉钙化的影响

发布时间：2018-07-08 15:04

本文选题：血液透析 + 血液透析滤过　；参考：《重庆医科大学》2015年硕士论文

【摘要】：目的：探讨不同血液净化方式对尿毒症患者动脉钙化程度的影响。方法：选取我院长期进行血液净化治疗的尿毒症患者97例,按血液净化方式不同分为血液透析滤过(HDF)组、血液透析(HD)组,利用多层螺旋CT进行全腹扫描,评价腹主动脉及髂动脉钙化程度,分析不同血液净化方式对患者血管钙化分级的影响。结果HDF组和HID组患者动脉不同程度血管钙化分别为42例(72.4%)和37例(94.9%),两组血管钙化程度分级比较差异有统计学意义(P0.05),HDF、HD组原发疾病构成、年龄、透析龄、透析前血压比较差异无统计学意义,HDF组甲状旁腺激素(PTH)低于HD组(P0.05),HDF组C反应蛋白(CRP)低于HID组(P0.05),HDF组血红蛋白高于HID组(P0.01),差异有统计学意义。结论：尿毒症患者动脉钙化发生率高,血液透析滤过治疗的患者血管钙化程度轻。
[Abstract]:Objective: to investigate the effect of different blood purification methods on arterial calcification in uremic patients. Methods: 97 patients with uremia who had been treated with blood purification for a long time were selected and divided into two groups according to different blood purification methods: hemodiafiltration (HDF) group and hemodialysis (HD) group. To evaluate the degree of calcification of abdominal aorta and iliac artery and to analyze the influence of different blood purification methods on the classification of vascular calcification. Results there were 42 cases (72.4%) and 37 cases (94.9%) with different degrees of vascular calcification in HDF group and hid group respectively. There was significant difference in the grade of vascular calcification between the two groups (P0.05). There was no significant difference in blood pressure before dialysis. The level of PTH in HDF group was lower than that in HD group (P0.05) and C-reactive protein (CRP) in HDF group was lower than that in hid group (P0.05), and the hemoglobin level in HDF group was higher than that in hid group (P0.01). Conclusion: the incidence of arterial calcification in uremic patients is high and the degree of vascular calcification in hemodiafiltration patients is mild.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R692.5

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