Effects of hemodialysis and hemoperfusion combination treatment on maintenance hemodialysis patients
10.3969/j.issn.1674-8115.2019.08.013
- Author:
Quan LONG
1
Author Information
1. Department of Nephrology, Shanghai International Medical Center
- Publication Type:Journal Article
- Keywords:
Anemia;
Hemodialysis (HD);
Hemoperfusion (HP);
Microinflammation;
Parathyroid hormone (PTH);
Quality of life;
Β2-microglobulin (β2-MG)
- From:
Journal of Shanghai Jiaotong University(Medical Science)
2019;39(8):886-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of hemodialysis (HD) and hemoperfusion (HP) combination treatment on maintenance hemodialysis (MHD) patients. Methods:A total of 80 MHD patients in Chongming Branch of Xinhua Hospital, Shanghai Jiao Tong University School of Medicine from July 2017 to July 2018 were randomly divided into two groups, i.e., HD+HP group (n=40) and HD group (n=40). The patients were followed up every 3 months for 1 year. The changes of laboratory indexes, dialysis adequacy indicators and quality of life scores of Kidney Disease Quality of Life-Short Form (KDQOL-SF) were compared between the two groups, and the prognosis, causes of death and adverse events were recorded. Results:At the end of one-year treatment, levels of parathyroid hormone (PTH), β2-microglobulin (β2-MG), high sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and left ventricular mass index (LVMI) were significantly lower in HD+HP group than those in HD group (P<0.05), while the level of hemoglobin and the KDQOL-SF score were significantly higher in HD+HP group than those in HD group (P<0.05). There were no significant differences in the indexes of iron metabolism, calcium, phosphorus, albumin and urea clearance index (Kt/V) between the two groups (P>0.05). The overall mortality rates of HD+HP group and HD group were 12.5% and 32.5%, respectively. No significant adverse events were observed during the follow-up. Conclusion:The effects of HD combined with HP on clearing middle and large molecular toxins, reducing microinflammation status, and improving renal anemia and left ventricular hypertrophy are better than those of only HD. There may be potential advantages of HD and HP combination in improving quality of life in MHD patients as well.
