高通量滤器F50复用对血透患者生存质量的改善

目的：探讨使用复用高通量滤器F50对血透患者生存质量的影响。方法：回顾性分析我院60例血透患者,复用高通量滤器F50治疗,3年前后血肌肝、尿素氮、血红蛋白、促红细胞生成素的使用量、体重及血压情况等资料。除血液透析治疗外,根据血钙、磷情况部分病人应用罗钙全或碳酸钙,根据血压情况使用降压药,根据血红蛋白（Hb）、红细胞压积（Hct）情况应用促红细胞生成素皮下注射,Hb 110～130 g/L,为靶目标值。结果：复用高通量滤器F50 3年后病人体重、血红蛋白及血浆白蛋白均较3年前有明显升高,85%病人血红蛋白达到靶目标值,促红细胞生成素使用量降低,患者的血压、干体重达到治疗目标;患者的生化指标如白蛋白、血钙、磷均纠正在正常值范围内。结论：复用高通量滤器F50治疗可使病人营养状态指标包括体重、血红蛋白及血浆白蛋白均较前有明显改善,促红细胞生成素用量减少,生存质量得到明显改善。

High-throughput Multiplexing F50 Filter in Hemodialysis Patients on Quality of Life

Objective：To observe the influence of hemodialysis with high- flux reused dialyzer（F50）to the life quality of ESRD patients. Methods： A retrospective analysis was made among 60 hemodiatysis patients, whose therapy were performed with reused high- flux dialyzer（F50）and normal dialyzers for almost 3 years. The clinical data together biological data such as BUN, serum creatinine, hemoglobin, serum albumin, blood pressureetc. Results：Body weight, serum abumin and hemoglobin had significant increased comparing with those in 3 years ago;85 % patients reached target of hemoglobin the doses of EPO was decreased significantly, and blood pressure and dry weights was also reached target; biological data such as albumin, calcium and phosphate were also reached normal range. Concluson ：Dialysis wilh high flux dialyzer can improve the quality of lives for ESRD patients, at the same time nutritional status is also ameliorated.