血液冲洗透析治疗慢性肾功能衰竭效果分析

• 作 者: 赵战云 颜炳丽 董玉莲
• 机 构: 潍坊市人民医院，安邱白求恩医院
• 出 处: 潍坊医学院学报
• 发表日期: 1994年04期
• 关键词: 慢性肾功能衰竭 尿毒症期 铜仿膜透析器 失衡综合征 病人血压 超滤量 透析时间 透析次数 醋酸盐透析液 人工肾

用血液冲洗透析（ＷＢＨＤ）方法对慢性肾功能衰竭（ＣＲＦ）尿毒症期病人进行了６３２人次血液透析（ＨＤ）疗效观察，并与６５１人次的传统ＨＤ对照。结果，ＷＢＨＤ４ｈ组病人血ＢＵＮ及血Ｃｒ平均透析清降率（１４８．２±１４．２ｍｌ／ｍｉｎ及９６．２±１０．７ｍｌ／ｍｉｎ）明显高于传统ＨＤ５ｈ组（１００．６±１２．９ｍｌ／ｍｉｎ及７７．１±１３．１ｍｌ／ｍｉｎ，Ｐ＜０．０１），ＷＢＨＤ组病人血压不稳定发生率（５．５３％）也明显低于对照组（１１．６７％，Ｐ＜０．０１）。因此，ＷＢＨＤ可提高ＨＤ效率，缩短ＨＤ时间，是一种良好的、易于普及的ＨＤ改进方法。

Hemodialysis (HD) was performed in 632 patients with uremia of chronic renal failure (CRF) using the Blood Flushing Dialysis (WBHD) method and compared with 651 conventional HD controls. Results The mean serum levels of BUN and Cr in serum of WBHD4h patients (148.2 ± 14.2ml / min and 96.2 ± 10.7ml / min) were significantly higher than those of the conventional HD5h patients (100.6 ± 12.9ml / Min and 77.1 ± 13.1ml / min, P <0.01). The incidence of unstable blood pressure in patients with WBHD (5.53%) was also significantly lower than that in controls (11.67%, P <0. 01). Therefore, WBHD can improve HD efficiency and shorten HD time, which is a good and easy-to-use HD improvement method.