Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients_West China Medical Journal

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Department of Nephrology,Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000,China;

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Keywords：

終末期腎病; 血液透析; 血磷; 左心室質量

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目的:觀察不同血液透析方式對終末期腎病患者心血管并發癥的影響。方法:48例慢性腎功能衰竭患者隨機分為常規透析(CHD)組和每日短時透析(DHD)組,觀察兩組患者心胸比率(CTR)、左心室質量指數(LVMI)、心功能、血清鈣、磷、甲狀旁腺素水平以及血紅蛋白和血清白蛋白和腎功能等指標的變化,評價不同透析方式對患者心血管并發癥的影響。結果:兩組患者腎功能均較透析前改善,但與常規透析組相比,DHD組患者心胸比率和左心室質量指數下降;血磷水平下降;血紅蛋白和血清白蛋白水平明顯提高。結論:DHD透析可以明顯降低患者血磷水平,減小心胸比率和左心室質量指數,減少心血管并發癥的發生。

Citation： LIAO Huawei,REN Min,FANlei,et al. Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients. West China Medical Journal, 2009, 24(6): 1517-1519. doi: Copy

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5.	BLOCK G A, KLASSEN P S, LAZARUS J M, et al. Mineral metabolism, mortality, and morbidity in maintenance hemodialysis[J]. J A m Soc Nephrol, 2004,15: 2208-2218.
6.	LINDSAY R M, ALHEJAILI F, NESRALLAH G, et al. Calcium and phosphate balance with quotidian hemodialysis[J]. Am J Kidney Dis, 2003, 42 (1 Suppl): 24-29.
7.	陳江華,何強,謝文卿,等. 高危尿毒癥患者每日短時透析的臨床初步經驗[J]. 中華腎臟病雜志,2005,21(5):286-289.

1. HASSAN K, ROGUIN N, KAGANOV Y, et al. Effect of erythropoietin therapy on red cells filterability and left ventricularmass in p redialysis patients[J]. Ren Fail, 2005, 27 (2): 177  182.
2. 季大璽. 維持性血液透析遠期并發癥的防治[J]. 醫學研究生學報,2008,21(6):561-563.
3. SLININ Y, FOLEY R N, COLLINSAJ. Calcium, phosphorus, parathyroid hormone, and cardiovascular disease in hemodialysis patients: the USRDS waves 1, 3, and 4 study[J]. J Am Soc N ephrol, 2005, 16 (6): 1788-1793.
4. GOICOECHEAM, D E VINUESA S G, GóMEZCAMPDER àF, et al. Predictive cardiovascular risk factors in patients with chronic kidney disease (CKD) [J]. Kidney Int Suppl, 2005, (93): S35-S38.
5. BLOCK G A, KLASSEN P S, LAZARUS J M, et al. Mineral metabolism, mortality, and morbidity in maintenance hemodialysis[J]. J A m Soc Nephrol, 2004,15: 2208-2218.
6. LINDSAY R M, ALHEJAILI F, NESRALLAH G, et al. Calcium and phosphate balance with quotidian hemodialysis[J]. Am J Kidney Dis, 2003, 42 (1 Suppl): 24-29.
7. 陳江華,何強,謝文卿,等. 高危尿毒癥患者每日短時透析的臨床初步經驗[J]. 中華腎臟病雜志,2005,21(5):286-289.

West China Medical Journal

Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients

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