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瘙痒症在慢性肾功能衰竭患者中极为常见,其发生率高达40%。可能的致病因素包括血浆尿素、钙、镁、磷酸盐、PTH和碱性磷酸酶升高,以及铁缺乏。为了阐明透析和上述血浆物质与瘙痒症之间的关系,本文作者观察115例有瘙痒症的透析患者,其中血液透析组81例,平均年龄47.5岁,平均透析时间30±35个月;连续非卧床腹膜透析(CAPD)组34例、平均年龄51.2岁,平均透析时间29±28个月。依据肉眼
Pruritus is extremely common in patients with chronic renal failure, the incidence of up to 40%. Potential causative agents include plasma urea, calcium, magnesium, phosphate, elevated PTH and alkaline phosphatase, and iron deficiency. In order to elucidate the relationship between dialysis and the above mentioned plasma and pruritus, we examined 115 dialysis patients with pruritus, including 81 hemodialysis patients with an average age of 47.5 years and an average dialysis time of 30 ± 35 months. In the peritoneal dialysis group (CAPD), 34 patients (average age 51.2 years, average dialysis time 29 ± 28 months). According to the naked eye