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血液透析及血液透析滤过对尿毒症患者P300影响的研究
引用本文:李涛,何晓阔,张建鄂,张庆红,罗昌霞,吴平勇,王顺华. 血液透析及血液透析滤过对尿毒症患者P300影响的研究[J]. 中国血液净化, 2009, 8(1)
作者姓名:李涛  何晓阔  张建鄂  张庆红  罗昌霞  吴平勇  王顺华
作者单位:1. 442000十堰,湖北郧阳医学院附属十堰市太和医院,肾内科
2. 442000十堰,湖北郧阳医学院附属十堰市太和医院,神经内科
摘    要:
目的通过事件相关电位P300探讨尿毒症患者认知功能,以及血液透析、血液透析滤过对尿毒症患者认知功能的影响。方法52例尿毒症患者随机分为血液透析组31例,血液透析滤过组21例,分别接受血液透析、血液透析滤过治疗1月,测定两组患者治疗前后P300,以同期健康体检者作对照。结果①尿毒症患者P300异常率为86.6%,高于健康对照组,表现为P300潜伏期延长,波幅降低;②血液透析及血液透析滤过组患者治疗后P300的异常率较治疗前明显下降,同治疗前比较,潜伏期缩短,波幅增高,上述改变血液透析滤过组较血液透析组更明显。结论慢性肾衰竭尿毒症患者认知功能障碍发生率高,血液净化可以明显改善尿毒症患者的认知功能,血液透析滤过优于血液透析。

关 键 词:尿毒症  认知功能  P300  血液透析  血液透析滤过

The effect of hemodialysis and hemodlafiltration on event-related potentials P300 in uremic patients
LI Tao,HE Xiao-kuo,ZHANG Jian-e,ZHANG Qing-hong,LUO Chang-xia,WU Pin-yong,WANG Shun-hua. The effect of hemodialysis and hemodlafiltration on event-related potentials P300 in uremic patients[J]. Chinese Journal of Blood Purification, 2009, 8(1)
Authors:LI Tao  HE Xiao-kuo  ZHANG Jian-e  ZHANG Qing-hong  LUO Chang-xia  WU Pin-yong  WANG Shun-hua
Affiliation:1De-partment of Nephrology; 2Department of Neurology; Taihe Hospital Affiliated to Yunyang Medical College; Shiyan; Hubei 442000; China;
Abstract:
Objective To study cognition function in uremic patients and the changes of cognition func-tion after hemodialysis and hemodiafiltration by examination of event-related potentials P300. Methods P300 was determined in 31 patients treated with hemodialysis,21 patients treated with heomdiafiltration and 49 normal controls. Results P300 was abnormal in 86.6% uremic patients. The P300 demonstrated prolonged latency and decreased amplitude as compared with those of the control group. Conclusions Cognition functio...
Keywords:P300
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