中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
23期
79-81
,共3页
甲状旁腺激素%慢性肾功能衰竭%残余肾功能%肾小球过滤
甲狀徬腺激素%慢性腎功能衰竭%殘餘腎功能%腎小毬過濾
갑상방선격소%만성신공능쇠갈%잔여신공능%신소구과려
Intact parathyroid hormone%Chronic renal failure%Residual renal function%Glomerular filtration
目的 观察甲状旁腺激素( iPTH)升高程度对慢性肾衰血透患者残余肾功能造成的影响. 方法 以安阳钢铁集团有限责任公司职工总医院2010年3月至2014年3月收治的92例慢性肾衰血透患者作为研究对象,根据iPTH水平进行分组. 两组均于血液透析前及透析半年时间后检测其iPTH水平及BUN(血尿素氮)、Scr(血肌酐)、Cr(内生肌酐清除率)等肾功能指标. 结果 两组透析前的iPTH水平比较差异未见统计学意义(P>0.05),A组透析半年后iPTH水平升高为(783.5 ±68.3)ng/L,显著高于B组(P<0.05),升高幅度也显著高于B组(P<0.05). 结论 慢性肾衰退血液透析患者难以避免iPTH升高,升高幅度越大患者残余肾功能受损越严重,因此该病血液透析治疗过程中应对iPTH升高情况予以充分重视并有效控制.
目的 觀察甲狀徬腺激素( iPTH)升高程度對慢性腎衰血透患者殘餘腎功能造成的影響. 方法 以安暘鋼鐵集糰有限責任公司職工總醫院2010年3月至2014年3月收治的92例慢性腎衰血透患者作為研究對象,根據iPTH水平進行分組. 兩組均于血液透析前及透析半年時間後檢測其iPTH水平及BUN(血尿素氮)、Scr(血肌酐)、Cr(內生肌酐清除率)等腎功能指標. 結果 兩組透析前的iPTH水平比較差異未見統計學意義(P>0.05),A組透析半年後iPTH水平升高為(783.5 ±68.3)ng/L,顯著高于B組(P<0.05),升高幅度也顯著高于B組(P<0.05). 結論 慢性腎衰退血液透析患者難以避免iPTH升高,升高幅度越大患者殘餘腎功能受損越嚴重,因此該病血液透析治療過程中應對iPTH升高情況予以充分重視併有效控製.
목적 관찰갑상방선격소( iPTH)승고정도대만성신쇠혈투환자잔여신공능조성적영향. 방법 이안양강철집단유한책임공사직공총의원2010년3월지2014년3월수치적92례만성신쇠혈투환자작위연구대상,근거iPTH수평진행분조. 량조균우혈액투석전급투석반년시간후검측기iPTH수평급BUN(혈뇨소담)、Scr(혈기항)、Cr(내생기항청제솔)등신공능지표. 결과 량조투석전적iPTH수평비교차이미견통계학의의(P>0.05),A조투석반년후iPTH수평승고위(783.5 ±68.3)ng/L,현저고우B조(P<0.05),승고폭도야현저고우B조(P<0.05). 결론 만성신쇠퇴혈액투석환자난이피면iPTH승고,승고폭도월대환자잔여신공능수손월엄중,인차해병혈액투석치료과정중응대iPTH승고정황여이충분중시병유효공제.
Objective To observe the effect of increasing of intact parathyroid hormone on residual renal function in hemodialysis patients with chronic renal failure .Methods This article selected 92 hemodialysis patients with chronic renal failure treated in hospital during March 2010 to March 2014 as the research objects , they were all grouped according to the iPTH level .Both groups were detected iPTH levels , BUN ( blood urea nitrogen ) , Scr ( serum creatinine ) , Cr ( cre-atinine clearance) and other renal functions in pre-hemodialysis and after six months ' hemodialysis.Results The iPTH level of the two groups in pre-hemodialysis had no significant difference (P>0.05);after six months' hemodialysis, the iPTH level of group A rised to (783.5 ±68.3) ng/L, which was significant higher than that of the group B (P<0.05), and the increased extent was also significantly higher than group B ( P<0.05 ) .Conclusions The hemodialysis patients with chronic renal failure are difficult to avoid iPTH elevating .The patients who have larger increasing , their residual renal function are impaired more seriously .So, in the process of hemodialysis treatment of this disease , we should give full atten-tion to the increased extent of iPTH and effective control it .
