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目的:探讨老年人慢性心、肾功能不全内科治疗加血液透析是否优于单纯内科治疗。方法:慢性心、肾功能不全患者98例,其中内科治疗加血液透析62例,单纯内科治疗36例。结果:内科治疗加血液透析组出院时心脏射血分数(45±3.9)%;左心室内径(52.4±1.2)mm;血肌酐下降(543±53.4)μmol/L。与单纯内科治疗组比较,差异有统计学意义(P<0.01)。结论:加用血液透析治疗,能明显提高心脏射血分数,缩小左心室内径,降低血肌酐水平。
Objective: To investigate whether elderly patients with chronic heart and renal dysfunction, medical treatment plus hemodialysis is superior to simple medical treatment. Methods: A total of 98 patients with chronic heart failure and renal insufficiency were enrolled. Among them, 62 cases were treated by medical therapy plus hemodialysis, and 36 cases were treated by simple internal medicine. Results: Cardiac ejection fraction (45 ± 3.9)%, left ventricular diameter (52.4 ± 1.2) mm, and serum creatinine decreased (543 ± 53.4) μmol / L in medical therapy plus hemodialysis group after discharge. Compared with the simple medical treatment group, the difference was statistically significant (P <0.01). Conclusion: Plus hemodialysis treatment, can significantly improve cardiac ejection fraction, reduce the diameter of the left ventricle, lower serum creatinine levels.