血液透析与腹膜透析对尿毒症病人钙磷代谢的影响比较

    The effect comparison between hemodialysis and peritoneal dialysis on calcium and phosphorus metabolism in patients with uremia

    • 摘要: 目的:比较血液透析与腹膜透析2种不同的透析方式对尿毒症病人钙磷代谢的影响。方法:选取52例尿毒症病人的临床资料,其中腹膜透析组病人28例,血液透析组病人24例,测量病人治疗不满1个月(治疗0个月)、治疗3个月、治疗6个月的甲状旁腺激素、血磷、血钙指标的变化情况,分析2组透析病人的异常情况发生率。结果:腹膜透析组治疗0个月和治疗6个月的血磷均低于血液透析组(P<0.05);腹膜透析治疗0个月时甲状旁腺激素明显低于血液透析组(P<0.01)。腹膜透析组的高磷发生率明显低于血液透析组(P<0.01);2组病人低磷、高钙、低钙、高甲状腺旁激素、低甲状旁腺激素发生率差异均无统计学意义(P>0.05)。结论:对于尿毒症病人而言,采用腹膜透析的方式,可对残肾功能起到更好的保护效果,有效控制钙磷代谢,值得临床推广应用。

       

      Abstract: Objective:To compare the effects between hemodialysis and peritoneal dialysis on calcium and phosphorus metabolism in patients with uremia.Methods:The clinical data of 52 patients with uremia were retrospectively analyzed.Twenty-eight cases treated with peritoneal dialysis and 24 cases treated with hemodialysis were divided into the peritoneal dialysis group and hemodialysis group,respectively.The levels of the parathyroid hormone,serum phosphorus and calcium in two groups were measured at treatment,and 3 and 6 months after treatment.The incidence rate of abnormal situation between two groups was compared.Results:The levels of serum phosphorus in peritoneal dialysis group at treatment and 6 months after treatment were lower than that in hemodialysis group(P<0.05).The level of parathyroid hormone in peritoneal dialysis group at treatment was significantly lower than that in hemodialysis group(P<0.05).The incidence rate of high phosphorus in peritoneal dialysis group was significantly lower than that in hemodialysis group(P<0.05).The differences of the incidence rate of low phosphorus,high and low calcium and parathyroid hormone between two groups were not statistically significant(P>0.05).Conclusions:The peritoneal dialysis can effectively protect the residual renal function and control the calcium and phosphorus metabolism,which is worthy of clinical application.

       

    /

    返回文章
    返回