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目的:探讨昆明地区肾性贫血与肾功能的关系。方法:47例患者血清肌酐均>308μmol/L,健康对照25例.均检测血肌酐、尿素氯、红细胞计数,血红蛋白、血球压积、平均红细胞体积、平均血红蛋白、平均血红蛋白浓度、红细胞体积平均分布宽度。结果:47例患者中Hb>100g/L者18例(38.3%),其中Cr>707μmol/L者8例(44.4%)。Cr<100g/L者29例(61,7%)。而Hb<5g/L者7例(14.9%)。昆明地区慢性肾功能不全患者贫血程度与肌酐呈负相关,但较平原地区相同血肌酐水平的患者贫血程度轻。结论:通过这一研究,对昆明地区肾功能不全患者的贫血程度与肾功衰进展的关系,血液粘滞度的改变,促红细胞生成素的使用,病人生存质量的监测奠定了理论基础。
Objective: To investigate the relationship between renal anemia and renal function in Kunming area. Methods: Serum creatinine in all 47 patients was> 308 μmol / L, and 25 healthy controls. Blood serum creatinine, urea chloride, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean hemoglobin, mean hemoglobin concentration and mean distribution width of erythrocytes were all detected. Results: Among the 47 patients, 18 cases (38.3%) had Hb> 100g / L and 8 cases (44.4%) had Cr> 707μmol / L. Cr <100g / L in 29 cases (61,7%). The Hb <5g / L in 7 cases (14.9%). Anemia in patients with chronic renal insufficiency in Kunming was negatively correlated with creatinine, but patients with the same serum creatinine level in the plain areas were less anemic. Conclusion: Through this study, the relationship between the degree of anemia and progression of renal failure, changes in blood viscosity, the use of erythropoietin and the monitoring of patient quality of life in patients with renal insufficiency in Kunming area are laid.