CAJ | 학술논문

目的：探讨高通量血液透析（HFHD）对维持性血液透析（MHD）患者贫血状态的影响。方法：选择2011年1月至2013年11月在新疆自治区人民医院血液净化中心行MHD治疗的慢性肾脏病（CKD）5期患者共240例，随机分为LFHD组和HFHD组各120例，观察两组患者首次透前和治疗3月后（透前）的血红蛋白（Hb)、红细胞压积（Hct），疗效评价分为三个等级：显效，有效，无效，将两组MHD患者贫血状态的改变进行记录并分析比较。结果：根据等级资料秩和检验，P=0.004，平均秩次HFHD组108.49低于LFHD组132.51，两组之间有统计学意义。结论：HFHD比LFHD能更有效的改善MHD患者的贫血状态。
목적：탐토고통량혈액투석（HFHD）대유지성혈액투석（MHD）환자빈혈상태적영향。방법：선택2011년1월지2013년11월재신강자치구인민의원혈액정화중심행MHD치료적만성신장병（CKD）5기환자공240례，수궤분위LFHD조화HFHD조각120례，관찰량조환자수차투전화치료3월후（투전）적혈홍단백（Hb)、홍세포압적（Hct），료효평개분위삼개등급：현효，유효，무효，장량조MHD환자빈혈상태적개변진행기록병분석비교。결과：근거등급자료질화검험，P=0.004，평균질차HFHD조108.49저우LFHD조132.51，량조지간유통계학의의。결론：HFHD비LFHD능경유효적개선MHD환자적빈혈상태。
Objective: high flux hemodialysis (HFHD) state of anemia in patients with maintenance hemodialysis (MHD).Methods: Choice Chronic kidney disease (CKD) stage 5 patients a total of 240 cases in the Xinjiang autonomous region people's hospital of MHD blood purification center,which came from January of 2011 to November of 2013. Were randomly divided into LFHD and HFHD group 120 cases each,Observe for the first time through two groups of patients before and after treatment in 3 months , such as:the hemoglobin (Hb), hematokrit (Hct), Curative effect evaluation is divided into three levels: excelent, effective, invalid, The two groups of anemia in patients with MHD state changes are recorded and compared.Results: According to the level of rank and inspection, P = 0004, The Mean Rank HFHD group 108.49 below LFHD group 108.49, Between the two groups have statistical significance.Conclusion: HFHD than LFHD can more effectively improve the anemia status of MHD patients.