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目的:观察血液灌流联合血液透析治疗血透患者皮肤瘙痒的效果。方法:选2012年3月~2013年3月在我院透析室行维持性血液透析治疗无严重并发症的尿毒症皮肤瘙痒患者14例,在规律充分透析的基础上,联合应用血液灌流,观察治疗前后皮肤瘙痒情况,甲状旁腺激素及β2–MG变化。结果:治疗后患者皮肤瘙痒明显减轻或消失,甲状旁腺激素和β2–MG水平下降,所有患者无不良反应及并发症发生。结论:血液灌流联合血液透析可明显改善尿毒症患者皮肤瘙痒,安全有效。
Objective: To observe the effect of hemoperfusion and hemodialysis on pruritus of hemodialysis patients. Methods: From March 2012 to March 2013 in our hospital dialysis room maintenance hemodialysis treatment of 14 cases of uremic pruritus without serious complications in patients with adequate dialysis based on the combination of hemoperfusion, observation Pruritus before and after treatment, parathyroid hormone and β2-MG changes. Results: The skin pruritus of patients was relieved or disappeared after treatment. The levels of parathyroid hormone and β2-MG were decreased. All the patients had no adverse reactions and complications. Conclusion: Hemoperfusion combined with hemodialysis can significantly improve skin pruritus in patients with uremia, safe and effective.