高通量血液透析对老年尿毒症钙磷代谢异常的影响研究

目的探究高通量血液透析治疗老年尿毒症伴钙磷代谢异常的临床疗效。方法择取2017年5月—2019年3月期间在本院进行治疗的老年尿毒症伴钙磷代谢异常患者共82例,根据抛硬币方式进行随机分组,其中对照组41例,观察组41例。对照组行常规血液透析治疗,观察组行高通量血液透析治疗,比较两组患者治疗前后钙磷代谢水平,统计两组患者治疗有效率。结果治疗前两组患者血鳞、血钙水平差异无统计学意义(P>0.05),治疗后观察组患者血钙水平高于对照组,血鳞水平低于对照组,差异有统计学意义(P<0.05);观察组与对照组患者临床治疗有效率分别为95.12%和78.05%,差异有统计学意义(P<0.05)。结论针对老年尿毒症伴钙磷代谢异常患者开展高通量血透治疗效果显著优于常规血透疗法,可有效纠正患者代谢异常症状,提升患者临床疗效。

Effect of High Flux Hemodialysis on Abnormal Calcium and Phosphorus Metabolism in Elderly Uremic Patients

Objective To investigate the clinical efficacy of high-flux hemodialysis in the treatment of elderly senile uremia with abnormal calcium and phosphorus metabolism.Methods A total of 82 patients with uremia associated with calcium and phosphorus metabolism who were treated in the hospital from May 2017 to March 2019 were randomly selected according to the method of coin tossing,including 41 patients in the control group and 41 in the observation group.The control group was underwent routine hemodialysis treatment.The observation group was underwent high-flux hemodialysis treatment.The levels of calcium and phosphorus metabolism before and after treatment were compared between the two groups.The treatment efficiency of the two groups was statistically analyzed.Results There was no statistically significant difference in blood squamous and blood calcium levels between the two groups before treatment(P>0.05).After treatment,the blood calcium level of the observation group was higher than that of the control group,and the blood squam level was lower than that of the control group.The difference was statistically significant(P<0.05).The effective rate of clinical treatment in the observation group and the control group were 95.12%and 78.05%respectively,and the difference was statistically significant(P<0.05).Conclusion High-flux hemodialysis treatment for elderly patients with uremia and abnormal calcium and phosphorus metabolism is significantly better than conventional hemodialysis therapy,which can effectively correct the abnormal symptoms of patients and improve the clinical efficacy of patients.