临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1385-1386
,共2页
透析%灌流%顽固性高血压%皮肤瘙痒
透析%灌流%頑固性高血壓%皮膚瘙癢
투석%관류%완고성고혈압%피부소양
Hemodialysis%Perfusion%Refractory hypertension%Pruritus
目的:观察分析透析加灌流在治疗顽固性高血压、皮肤瘙痒及减低PTH方面的临床疗效。方法选取2014年2月至2015年2月在我院接受血液透析-灌流联合治疗的尿毒症患者60例作为研究对象。比较患者治疗前后的血压(收缩压和舒张压)、PTH水平和皮肤瘙痒的实验室检查结果(包括BUN、 Cr、 Ca),评估透析和灌流联合疗法的临床疗效。结果患者治疗后收缩压和舒张压均显著优于治疗前,差异具有统计学意义(P<0.05),血压治疗总有效率为96.67%。患者治疗后PTH水平和皮肤瘙痒的实验室检查结果均显著改善,差异具有统计学意义(P<0.05),皮肤瘙痒治疗总有效率为95.0%。结论透析加灌流在治疗顽固性高血压、皮肤瘙痒及减低PTH等方面具有显著的临床疗效,可提高患者生活质量,值得在临床推广与应用。
目的:觀察分析透析加灌流在治療頑固性高血壓、皮膚瘙癢及減低PTH方麵的臨床療效。方法選取2014年2月至2015年2月在我院接受血液透析-灌流聯閤治療的尿毒癥患者60例作為研究對象。比較患者治療前後的血壓(收縮壓和舒張壓)、PTH水平和皮膚瘙癢的實驗室檢查結果(包括BUN、 Cr、 Ca),評估透析和灌流聯閤療法的臨床療效。結果患者治療後收縮壓和舒張壓均顯著優于治療前,差異具有統計學意義(P<0.05),血壓治療總有效率為96.67%。患者治療後PTH水平和皮膚瘙癢的實驗室檢查結果均顯著改善,差異具有統計學意義(P<0.05),皮膚瘙癢治療總有效率為95.0%。結論透析加灌流在治療頑固性高血壓、皮膚瘙癢及減低PTH等方麵具有顯著的臨床療效,可提高患者生活質量,值得在臨床推廣與應用。
목적:관찰분석투석가관류재치료완고성고혈압、피부소양급감저PTH방면적림상료효。방법선취2014년2월지2015년2월재아원접수혈액투석-관류연합치료적뇨독증환자60례작위연구대상。비교환자치료전후적혈압(수축압화서장압)、PTH수평화피부소양적실험실검사결과(포괄BUN、 Cr、 Ca),평고투석화관류연합요법적림상료효。결과환자치료후수축압화서장압균현저우우치료전,차이구유통계학의의(P<0.05),혈압치료총유효솔위96.67%。환자치료후PTH수평화피부소양적실험실검사결과균현저개선,차이구유통계학의의(P<0.05),피부소양치료총유효솔위95.0%。결론투석가관류재치료완고성고혈압、피부소양급감저PTH등방면구유현저적림상료효,가제고환자생활질량,치득재림상추엄여응용。
Objective To observe and analyze the clinical effect of hemodialysis (HD) combined with hemoperfusion (HP) in treating refractory hypertension, pruritus and in reducing PTH level. Methods 60 cases of uremic patients treated with hemodialysis combined with hemoperfusion in our hospital from February 2014 to February 2015 were selected as research objects. The blood pressure (systolic pressure and diastolic pressure), PTH level and laboratory results of pruritus (including BUN, Cr, Ca) before and after treatment were compared, the clinical effect of hemodialysis combined with hemoperfusion was evaluated. Results The systolic pressure and diastolic pressure of patients after treatment were significantly better than those before treatment, with statistical difference (P <0.05), and the total effective rate of hypertensive therapy was 96.67%. The PTH level and laboratory results of pruritus of patients after treatment were significantly improved (P<0.05), and the total effective rate was 95.0%. Conclusions Hemodialysis combined with hemoperfusion has significant clinical effect in treating refractory hypertension, pruritus and in reducing PTH, which can improve the patients' life quality and deserve clinical promotion and application.