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高通量透析对维持性透析患者血尿酸、尿素氮及肌酐的影响 被引量:5

Efficiency of high-flux dialyzers on clearance of blood uric acid,urea nitrogen and creatinine in maintenance hemodialysis
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摘要 目的:比较高通量透析(F60)及常规透析(F7)对透析患者血尿酸(UA)、尿素氮(BUN)及肌酐(CREA)的影响。方法:选择我院门诊50例尿毒症维持性常规血液透析患者,随机分成高通量透析组和常规透析组,每组25例。分别采用透析器F60及F7进行透析治疗,比较2组患者UA、BUN、及CREA的清除率、下降率及尿素清除指数(KT/V);6个月后检测并比较两组患者治疗前后UA、BUN及CREA变化。结果:(1)高通量透析及常规透析UA、BUN及CREA清除率、下降率及(KT/V)比较,所有结果无统计学意义(P>0.05);(2)经高通量透析及常规透析6个月后UA、BUN及CREA与透析前比较差异均无统计学意义(P均>0.05)。结论:高通量透析对尿毒症患者UA、BUN及CREA等小分子尿毒症毒素清除效果与常规透析比较无明显差异。 Objective: To compare the efficiency of high-flux dialyzers(F60) and conventional dialyzers(F7) on clearance of blood uric acid(UA),urea nitrogen(BUN) and creatinine(CREA).Methods: Fifty patients that underwent maintenance hemodialysis were randomly divided into high-flux dialyzers group and conventional dialyzers group by half,which underwent dialyzers with F60 and F7 dialyzator separately.Compare the clearance rate and reduction rate of UA,BUN,CREA and KT/Vurea ratio of BUN between the two groups,as well as UA,BUN and Crea levels within each group before and after a course of 6 month treatment.Results:(1)The clearance,reduction and KT/Vurea of UA,BUN and CREA of the two groups were not significantly different from each other(P0.05);(2) Six months later,no significant difference of UA,BUN or CREA levels were observed in neither groups compared with that before the treatment(P0.05).Conclusions: The efficiency of F60 dialyzator and conventional dialyzator(F7) on clearance of blood uric acid(UA),urea nitrogen(BUN) and CREA is similar.
作者 韦杏 黄先池
出处 《海南医学院学报》 CAS 2010年第6期721-723,728,共4页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020100199)~~
关键词 高通量透析 清除率 下降率 KT/V High-flux dialyzers Clearance rate Reduction rate KT/Vurea
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参考文献10

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二级参考文献32

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