|
|||||
|
|
| 血液透析对尿毒症患者肺功能的影响 | |
| 引用本文： | 冯超,王佑娟,汤辉,曾莉,宋冰. 血液透析对尿毒症患者肺功能的影响[J]. 西部医学, 2009, 21(3): 390-391 |
| 作者姓名： | 冯超 王佑娟 汤辉 曾莉 宋冰 |
| 作者单位： | 1. 四川大学华西医院干部保健科,四川,成都,610041 2. 四川大学华西医院呼吸内科 3. 四川大学华西医院健康检查中心 |
| 摘 要： | 目的了解尿毒症患者的肺功能情况及血液透析对肺功能的影响。方法分别测定了60例尿毒症患者及20例正常人的肺功能参数，其中40例尿毒症患者在透析治疗3月后进行了上述参数的复查。结果尿毒症患者反映肺通气量和气道功能指标用力肺活量（FVC）、最大通气量（MBC）、1秒钟用力呼气容积（FEV1）、最大呼气流量（PEF）、最大呼气中段流量（MMEF）、25％肺活量最大呼气流量（V25）以及肺弥散功能指标（DLco）均明显低于正常人，差异有显著性。透析治疗后尿毒症组患者气道功能指标FEV1、PEF、MMEF、V25和肺弥散功能指标DLco明显改善；但肺通气量指标FVC、MBC无明显改善。结论尿毒症患者的肺通气功能和弥散功能均存在不同程度的受损，血液透析可明显改善尿毒症患者的肺功能。贫血是影响肺弥散功能的原因之一，及时的血液透析治疗并重视纠正贫血状况，有利于改善尿毒症患者的肺功能。 |
| 关 键 词： | 尿毒症 肺功能 血液透析 |
Effects of hemodialysis on pulmonary function in patients with uremia |
|
| Affiliation: | FENG Chao, WANG You-juan, TANG Hui, et al (West China Hospital, Sichuan University, Chengdu 610041,China) |
| Abstract: | Objective To study the changes of pulmonary function before and after hemodialysis in patients with uremia. Method The pulmonary function in 60 patients with uremia and 20 normal subjects were detected. The indexes were reexamined in 40 patients 3 months after hemodialysis. Results The FVC, MBC, FEV1, PEF, MMEF, V3s and DLco were significantly lower in patients with uremia than those in normal subjects. There were obvious improvement of FEVI, PEF, MMEF, V25 and DLco after dialysis （P〈0. 05 or P〈0. 01） and no significant improvement of FVC, MBC （P〉0.05）. Conclusion Ventilation and diffusing function of lung are decreased in patients with uremia, accompanied airway obstruction. There is obvious improvement of pulmonary function after hemodialysis. |
| Keywords: | Uremia Pulmonary function Hemodialysis |
| 本文献已被 维普 万方数据 等数据库收录！ | |