The impact of ultrapure dialysate on long-term survival rate and complication in maintenance hemodialysis patients
10.3760/cma.j.issn.1673-4904.2015.12.007
- VernacularTitle:超纯透析液对血液透析患者长期生存率及并发症的影响
- Author:
Xinwei XU
;
Song LI
;
Zhanyun ZHAO
;
Fang YIN
- Publication Type:Journal Article
- Keywords:
Dialysis solutions;
Renal dialysis;
Survival rate
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(12):880-883
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of ultrapure dialysate on long-term survival rate and complication in maintenance hemodialysis patients.Methods Seventy maintenance hemodialysis patients were selected,and they were divided into ultrapure dialysate group (36 cases) and control group (34 cases) by random digits table method.The 1-,3-,5-year mortality,death causes and the incidences of cardiovascular complication,infection,cerebrovascular accident were recorded.Results The 3-and 5-year mortality in ultrapure dialysate group were significantly lower than those in control group:30.6% (11/36) vs.41.2% (14/34) and 41.7% (15/36) vs.82.4% (28/34),and there were statistical differences (P < 0.05).The mortality of infection in ultrapure dialysate group was significantly lower than that in control group:1/15 vs.21.4% (6/28),and there was statistical difference (P < 0.05).The incidences of cardiovascular complication,cerebrovascular accident,infection in ultrapure dialysate group were significantly lower than those in control group:47.2% (17/36) vs.79.4% (27/34),27.8% (10/36) vs.41.2% (14/34) and 41.7% (15/36) vs.73.5% (25/34),and there were statistical differences (P < 0.05).Conclusion Ultrapure dialysate can increase long-term survival rate and decrease incidence of complication in maintenance hemodialysis patients.