国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2012年
5期
27-29
,共3页
糖尿病肾病%急性肾损伤%持续低效每日血液透析滤过%间歇性血液透析
糖尿病腎病%急性腎損傷%持續低效每日血液透析濾過%間歇性血液透析
당뇨병신병%급성신손상%지속저효매일혈액투석려과%간헐성혈액투석
Diabetic Nephropathy%Acute kidney injury%Sustained low efficiency daily diafiltration%Intermittent hemodialysis
目的 探讨持续低效每日血液透析滤过治疗糖尿病肾病合并急性肾损伤患者的近期疗效.方法 选择糖尿病肾病Ⅳ期合并急性肾损伤患者33例,根据血液净化的方式分为2组,其中15例行持续低效每日血液透析滤过治疗,18例行间歇性血液透析治疗,观察1个月2种治疗方法的疗效.结果 2组患者治疗后摆脱替代治疗率分别为35％及28％,病死率分别为30％及38％,两者比较差异均无统计学意义(P＞0.05)；持续低效每日血液透析滤过组患者摆脱血液净化的时间低于间歇性血液透析组(P＜0.05).结论 对于糖尿病肾病合并急性肾损伤患者,持续低效每日血液透析滤过为安全且有效地治疗措施,较间歇性血液透析治疗近期效果好.
目的 探討持續低效每日血液透析濾過治療糖尿病腎病閤併急性腎損傷患者的近期療效.方法 選擇糖尿病腎病Ⅳ期閤併急性腎損傷患者33例,根據血液淨化的方式分為2組,其中15例行持續低效每日血液透析濾過治療,18例行間歇性血液透析治療,觀察1箇月2種治療方法的療效.結果 2組患者治療後襬脫替代治療率分彆為35％及28％,病死率分彆為30％及38％,兩者比較差異均無統計學意義(P＞0.05)；持續低效每日血液透析濾過組患者襬脫血液淨化的時間低于間歇性血液透析組(P＜0.05).結論 對于糖尿病腎病閤併急性腎損傷患者,持續低效每日血液透析濾過為安全且有效地治療措施,較間歇性血液透析治療近期效果好.
목적 탐토지속저효매일혈액투석려과치료당뇨병신병합병급성신손상환자적근기료효.방법 선택당뇨병신병Ⅳ기합병급성신손상환자33례,근거혈액정화적방식분위2조,기중15례행지속저효매일혈액투석려과치료,18례행간헐성혈액투석치료,관찰1개월2충치료방법적료효.결과 2조환자치료후파탈체대치료솔분별위35％급28％,병사솔분별위30％급38％,량자비교차이균무통계학의의(P＞0.05)；지속저효매일혈액투석려과조환자파탈혈액정화적시간저우간헐성혈액투석조(P＜0.05).결론 대우당뇨병신병합병급성신손상환자,지속저효매일혈액투석려과위안전차유효지치료조시,교간헐성혈액투석치료근기효과호.
Objective To observe term effect of sustained low effi- ciency daily diafiltration (SLEDD-f) in patients of diabetic nephropathy with acute kidney injury.Methods 33 patients with diabetic nephropathywith acute kidney injury were divided into two groups:SLEDD-f group(n =15),IHD (inter-mittent hemodialysis,IHD) group (n =18).The term effect were observed in both groups after one month.Results The rate of free renal replacement therapy is 35％ and 28％,the mortality is 30％ and 38％,these differences were not statis-tically significant ( P ＞ 0.05 ) in both groups.The time of free renal replacement therapy is( 13 ± 3) days and( 18 ± 3 ) days after one month in both groups,the time in SLEDD-f group is lower than IHD group.Conclusion SLEDD-f are safe and effective therapy for patients with Diabetic nephropathy with acute kidiney injury.The term effect in SLEDD-f group is better than IHD group.
