The therapeutic effect and nursing experience of different linked modes in hemodialysis combined with hemoperfusion on renal osteopathy disease in maintenance hemodialysis patients
10.3760/cma.j.issn.1672-7088.2015.23.008
- VernacularTitle:不同血液灌流连接方式对维持性血液透析患者肾性骨病的治疗效果及护理体会
- Author:
Xiaohong BI
;
Lan WU
;
Wenfeng WANG
;
Ping LE
- Publication Type:Journal Article
- Keywords:
Renal dialysis;
Hemoperfusion;
Renal osteopathy disease
- From:
Chinese Journal of Practical Nursing
2015;31(23):1745-1747
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect and nursing points of different linked modes in hemodialysis combined with hemoperfusion on renal osteopathy disease in maintenance hemodialysis (MHD) patients.Methods Sixty-four MHD patients with renal osteopathy disease were enrolled in the study.They were divided into two groups by random digits table method:the front connection group and the back connection group with 32 cases each.Their clinical data,serum parameters and complications were recorded.The therapeutic effect of two groups were compared.Results The serum level of intact parathyroid hormone(iPTH) was (191.36 ± 53.96) ng/L in the front connection group,while (133.02 ± 38.63) ng/L in the back connection group,and there was significant difference,t=3.517,P＜0.05.The incidence of lower blood pressure and blood coagulation were 8.85％(51/576),6.94％(40/576) in the back connection group,while 14.93％(86/576),15.97％(92/576) in the front connection group,and there were significant differences,x2=10.149,23.136,P＜0.01.Conclusion The back linked mode in hemodialysis combined with hemoperfusion can obviously decrease iP:TH of MHD patients combined with renal osteopathy disease and has less complications,worth clinical promotion.
