| 血液透析血液灌流对继发甲状旁腺功能亢进的影响 |
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| 引用本文： | 高原,王莉华,马慧鹏,王丽丽,高志英. 血液透析血液灌流对继发甲状旁腺功能亢进的影响[J]. 中国实用内科杂志, 2006, 26(10): 758-760 |
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| 作者姓名： | 高原 王莉华 马慧鹏 王丽丽 高志英 |
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| 作者单位： | 河北大学第二医院血液净化中心,河北,石家庄,050000 |
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| 摘 要： | 目的观察血液灌流比较血液透析滤过对慢性肾衰竭维持血液透析患者继发性甲状旁腺功能亢进的影响。方法选取2004年8月至2005年11月河北大学第二医院维持性血液透析患者40例,分为2组,比较单次血液透析串联血液灌流(HD HP)治疗,及单次血液透析滤过(HDF)治疗前后,患者血甲状旁腺激素(PTH)和磷(P)的清除力和清除百分比。结果单次血液透析串联血液灌流后,慢性肾衰竭维持血液透析患者血PTH下降明显,血钙(Ca)增高。结论血液透析串联血液灌流后患者骨病的临床症状好转;血液灌流可以明显降低患者的PTH,能很好地改善维持性血液透析患者的继发性甲状旁腺功能亢进症状。
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| 关 键 词： | 血液透析 甲状旁腺功能亢进 溶质清除力 |
| 文章编号： | 1005-2194(2006)10-0758-03 |
| 修稿时间： | 2006-01-11 |
The impact of hemoperfusion on chronic renal failure patients with secondary hyperparathyroidism maintaining hemodialysis |
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| Gao Yuan,Wang Lihua,Ma Huipeng,et al.. The impact of hemoperfusion on chronic renal failure patients with secondary hyperparathyroidism maintaining hemodialysis[J]. Chinese Journal of Practical Internal Medicine, 2006, 26(10): 758-760 |
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| Authors: | Gao Yuan Wang Lihua Ma Huipeng et al. |
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| Affiliation: | Gao Yuan,Wang Lihua,Ma Huipeng,et al.The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China |
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| Abstract: | Objective To observe the impact of hemoperfusion on chronic renal failure patients with secondary hyperparathyroidism maintaining hemodialysis.Methods Forty patients with hemodialysis in our hospital were selected and grouped.Single hemodialysis in connection with hemoperfusion(HD HP)was used in group 1 and single hemodiafiltration(HDF)was used in group 2 to compare the clearance power and clearance rate of blood parathyroid hormone(PTH)and phosphate(P).Results Blood PTH was decreased and blood calcium was increased in patients with chronic renal failure maintaining hemodialysis after HD HP treatment.Conclusion The clinical osteopathic symptoms of patients are improved after HD HP treatment,secondary hyperparathyroidism in patients with hemodialysis. |
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| Keywords: | Hemodlialysis Secondary hyperparathyroidism Solute clearance |
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