刘娜, 周露, 丁鲲, 陈仁贵, 赵文琪, 叶婷, 苏东东. 高通量血液透析对尿毒症患者微炎症及营养状态的影响[J]. 临床肾脏病杂志, 2017, 17(11): 667-670. DOI: 10.3969/j.issn.1671-2390.2017.11.006
    引用本文: 刘娜, 周露, 丁鲲, 陈仁贵, 赵文琪, 叶婷, 苏东东. 高通量血液透析对尿毒症患者微炎症及营养状态的影响[J]. 临床肾脏病杂志, 2017, 17(11): 667-670. DOI: 10.3969/j.issn.1671-2390.2017.11.006
    LIU Na, ZHOU Lu, DING Kun, CHEN Ren-gui, ZHAO Wen-qi, YE Ting, SU Dong-dong. Influence of high flux hemodialysis on microinflammatory and nutritional status of uremic patients[J]. Journal of Clinical Nephrology, 2017, 17(11): 667-670. DOI: 10.3969/j.issn.1671-2390.2017.11.006
    Citation: LIU Na, ZHOU Lu, DING Kun, CHEN Ren-gui, ZHAO Wen-qi, YE Ting, SU Dong-dong. Influence of high flux hemodialysis on microinflammatory and nutritional status of uremic patients[J]. Journal of Clinical Nephrology, 2017, 17(11): 667-670. DOI: 10.3969/j.issn.1671-2390.2017.11.006

    高通量血液透析对尿毒症患者微炎症及营养状态的影响

    Influence of high flux hemodialysis on microinflammatory and nutritional status of uremic patients

    • 摘要: 目的 探讨高通量血液透析对尿毒症患者微炎症及营养状态的影响。方法 选择2013年1月至2015年6月在中国人民解放军广州军区武汉总医院治疗尿毒症患者155例,按随机数字表法分为观察组和对照组。观察组82例,给予高通量血液透析治疗;对照组73例,给予血液透析滤过联合血液灌流治疗。2组均持续透析治疗1年,分别在治疗前和治疗12个月后采血,测量2组患者透析前后的微炎症指标(超敏C反应蛋白,白细胞介素6,肿瘤坏死因子)、肾功能(三酰甘油,总胆固醇,β2微球蛋白,血肌酐,血磷)、营养状态指标(体质量指数,血浆总蛋白,白蛋白),并进行统计学分析。结果 与透析前比较,2组患者透析后微炎症指标、肾功能指标水平显著降低,营养状态指标水平显著升高,差异有统计学意义(P < 0.05)。与对照组透析后相关指标比较,观察组透析后微炎症状态、肾功能、营养状态改善的更明显一些,差异有统计学意义(P < 0.05)。结论 与血液透析滤过联合血液灌流治疗相比,高通量血液透析可更好地改善尿毒症患者微炎症及营养状态。

       

      Abstract: Objective To investigate the influence of high flux hemodialysis (HFHD)on microinflam-matory and nutritional status of uremic patients. Methods 155 cases of uremic patients in our hospital from January 2013 to June 2015 were randomly divided into two groups:82 cases of uremic patients with uremic treated by HFHD were selected into observation group, and 73 cases of uremic patients with uremic treated by hemodiafiltration + hemoperfusion (HDF+HP) in the same period were selected into control group. Before and 12 months after the treatment, blood samples of 155 patients in each group were taken to detect the indicators of hypersensitive C-reactive protein (hs-CRP), interleukin (IL-6), tumor necrosis factor (TNF-α), triglycerides (TC), total cholesterol (TC), β2-microglobulin (β2-MG), serum creatinine (SCr), serum phosphorus (Ph), body mass index (BMI), total protein (TP), albumin (Alb), and statistical analyzed. Results After treatment, hs-CRP、IL-6、TNF-α levels of two groups were significantly reduced, statistically difference(P < 0.05), and hs-CRP、IL-6、TNF-α levels of observation group were significantly lower than control group, statistically difference (P < 0.05). After treatment, TG, TC, β2-MG, SCr, Ph levels of two groups were significantly reduced, statistically difference(P < 0.05), and TG, TC, β2-MG, Scr, Ph levels of observation group were significantly lower than control group, statistically difference(P < 0.05). After BMI, TP, Alb levels of two groups were significantly increased, statistically difference(P < 0.05), and BMI, TP, Alb levels of observation group were significantly higher than control group, statistically difference(P < 0.05). Conclusions Compared with hemodiafiltration + hemoperfusion (HDF+HP), high flux hemodialysis could effectively improve the microinflammatory, renal function and nutritional status of uremic patients.

       

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