Analysis of calcium-phosphorus metabolism disorder in maintenance hemodialysis patients

VernacularTitle:维持性血液透析患者钙磷代谢紊乱分析
Author: Haijian LI ; Yongmin FENG ; Jie LU ; Jiawu FENG
Publication Type:Journal Article
Keywords: Renal dialysis; Hyperparathyroidism,secondary; Calcium-phosphorus metabolism
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(8):1059-1061
CountryChina
Language:Chinese
Abstract: Objective To analyze the disorder status of calcium-phosphorus metablism in maintenance hemodialysis patients. Methods Serum calcium, serum phosphorus, calcium-phosphorus product and PTH were detected in 70 patients with maintenance hemodialysis ,and compared with the indicators of K/DOQI guidelines. Results There were 36 cases over 50 years age and 34 cases less than 50 years age in 70 cases, and there were no significant differences in serum calcium, serum phosphorus, calcium-phosphorus product and PTH between two groups (P ＞0.05). The longer the dialysis, the more obvious changes of serum phosphorus and PTH levels, and there were significant differences(P ＜0.05). In 70 cases ,46 cases(65. 7%) serum calcium,34 cases(48.6%) serum phosphorus ,40 cases(57. 1%) calcium and phosphorus product,28 cases(40%) PTH met the requirement of K/DOQI guidelines,only 18 cases (25.7%) of all indicators reached the K/DOQI requirements. Conclusion The calcium-phosphorus metablism in most hemodialytic patients still cannot reach the K/DOQI guidelines.