| 维持血透患者血红蛋白水平对尿素清除指数的影响 |
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| 引用本文： | 林志鑫,傅君舟,秦曙光,梁鸣.维持血透患者血红蛋白水平对尿素清除指数的影响[J].实用临床医学(江西),2012,13(2):1-2,14. |
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| 作者姓名： | 林志鑫 傅君舟 秦曙光 梁鸣 |
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| 作者单位： | 广州医学院附属广州市第一人民医院肾内科 |
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| 摘 要： | 目的探讨维持性血液透析患者血红蛋白(Hb)水平与单次血透尿素清除指数(Kt/V)的关系,为增加透析充分性提供帮助。方法选取进行维持性血液透析的终末期肾病患者57例,透前抽血检验,计算该次血透的Kt/V,然后按照血红蛋白水平分成Hb达标组(Hb≥110g.L-1)与Hb不达标组(Hb<110g.L-1)2组,统计分析Hb与Kt/V的关系。结果 Hb达标组的Kt/V为(1.18±0.09),Hb不达标组的Kt/V为(1.31±0.11),2组相比,差异有统计学意义(P<0.05)。结论 Hb水平是影响维持性血液透析患者尿素Kt/V的重要因素。
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| 关 键 词： | 血液透析 血红蛋白 尿素清除指数 |
Effect of Hemoglobin Levels on Urea Clearance in Maintenance Hemodialysis Patients |
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| LIN Zhi-xin,FU Jun-zhou,QIN Shu-guang,LIANG Ming.Effect of Hemoglobin Levels on Urea Clearance in Maintenance Hemodialysis Patients[J].Practical Clinical Medicine,2012,13(2):1-2,14. |
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| Authors: | LIN Zhi-xin FU Jun-zhou QIN Shu-guang LIANG Ming |
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| Institution: | (Department of Nephrology,the Affiliated Guangzhou First Municipal People＇s Hospital of Guangzhou Medical College,Guangzhou 120033,China) |
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| Abstract: | Objective To investigate the correlation between hemoglobin（Hb） levels and single dialysis urea clearance（Kt/V）,and to improve the hemodialysis adequacy.Methods Predialysis blood tests were performed and the Kt/V was calculated in 57 maintenance hemodialysis patients with end-stage renal disease.These patients were divided into two groups according to Hb levels（Hb≥110 g·L-1 and Hb110 g·L-1）.The correlation between Hb levels and Kt/V was analyzed.Results The Kt/V in Hb≥110 g·L-1 group was significantly lower than that in Hb110 g·L-1 group（1.18±0.09 vs 1.31±0.11,P0.05）.Conclusion The Hb is an important factor affecting the Kt/V in maintenance hemodialysis patients. |
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| Keywords: | hemodialysis hemoglobin urea clearance |
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