Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients_West China Medical Journal

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Department of Nephrology,Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000,China;

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Keywords：

终末期肾病; 血液透析; 血磷; 左心室质量

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目的:观察不同血液透析方式对终末期肾病患者心血管并发症的影响。方法:48例慢性肾功能衰竭患者随机分为常规透析(CHD)组和每日短时透析(DHD)组,观察两组患者心胸比率(CTR)、左心室质量指数(LVMI)、心功能、血清钙、磷、甲状旁腺素水平以及血红蛋白和血清白蛋白和肾功能等指标的变化,评价不同透析方式对患者心血管并发症的影响。结果:两组患者肾功能均较透析前改善,但与常规透析组相比,DHD组患者心胸比率和左心室质量指数下降;血磷水平下降;血红蛋白和血清白蛋白水平明显提高。结论:DHD透析可以明显降低患者血磷水平,减小心胸比率和左心室质量指数,减少心血管并发症的发生。

Citation： LIAO Huawei,REN Min,FANlei,et al. Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients. West China Medical Journal, 2009, 24(6): 1517-1519. doi: Copy

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4.	GOICOECHEAM, D E VINUESA S G, GóMEZCAMPDER àF, et al. Predictive cardiovascular risk factors in patients with chronic kidney disease (CKD) [J]. Kidney Int Suppl, 2005, (93): S35-S38.
5.	BLOCK G A, KLASSEN P S, LAZARUS J M, et al. Mineral metabolism, mortality, and morbidity in maintenance hemodialysis[J]. J A m Soc Nephrol, 2004,15: 2208-2218.
6.	LINDSAY R M, ALHEJAILI F, NESRALLAH G, et al. Calcium and phosphate balance with quotidian hemodialysis[J]. Am J Kidney Dis, 2003, 42 (1 Suppl): 24-29.
7.	陈江华,何强,谢文卿,等. 高危尿毒症患者每日短时透析的临床初步经验[J]. 中华肾脏病杂志,2005,21(5):286-289.

1. HASSAN K, ROGUIN N, KAGANOV Y, et al. Effect of erythropoietin therapy on red cells filterability and left ventricularmass in p redialysis patients[J]. Ren Fail, 2005, 27 (2): 177  182.
2. 季大玺. 维持性血液透析远期并发症的防治[J]. 医学研究生学报,2008,21(6):561-563.
3. SLININ Y, FOLEY R N, COLLINSAJ. Calcium, phosphorus, parathyroid hormone, and cardiovascular disease in hemodialysis patients: the USRDS waves 1, 3, and 4 study[J]. J Am Soc N ephrol, 2005, 16 (6): 1788-1793.
4. GOICOECHEAM, D E VINUESA S G, GóMEZCAMPDER àF, et al. Predictive cardiovascular risk factors in patients with chronic kidney disease (CKD) [J]. Kidney Int Suppl, 2005, (93): S35-S38.
5. BLOCK G A, KLASSEN P S, LAZARUS J M, et al. Mineral metabolism, mortality, and morbidity in maintenance hemodialysis[J]. J A m Soc Nephrol, 2004,15: 2208-2218.
6. LINDSAY R M, ALHEJAILI F, NESRALLAH G, et al. Calcium and phosphate balance with quotidian hemodialysis[J]. Am J Kidney Dis, 2003, 42 (1 Suppl): 24-29.
7. 陈江华,何强,谢文卿,等. 高危尿毒症患者每日短时透析的临床初步经验[J]. 中华肾脏病杂志,2005,21(5):286-289.

West China Medical Journal

Influence of Difference Dialysis Pattern on Cadiovascular Complication of Endstage Renal Disease Patients

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