老年慢性肾衰竭患者持续性血液透析治疗的临床疗效分析

摘要

Objective:To investigate clinical efficacy and adverse complications of continuous blood purification (CBP)for pa-tients with chronic renal failure(CRF).Methods:90 patients with CRF were selected in our hospital from January 2015 to January 2016,and the patients were given CBP.90 patients were divided into senile group (n =56)and non-senile group (n =34)according to age.Serum creatinine(Scr),blood urea nitrogen(BUN),triglycerides(TG),hemoglobin(Hb)and C-reaction protein(CRP)were ob-served before and after the treatment,and the adverse complications were summarized.Results:After the treatment,Scr,BUN,TG,Hb and CRP in the two groups were lower than those before the treatment (P <0.05);In the non-senile group,the rate of adverse compli-cations were significantly less than the senile group (P <0.05).Conclusion:The effect of continuous hemodialysis in the treatment of the elderly patients with chronic renal failure is obvious.%目的：观察维持性血液透析（continuous blood purification，CBP）治疗老年慢性肾衰竭（chronic renal failure，CRF）患者的临床疗效。方法：选取2015年1月至2016年1月在本院采用 CBP 治疗的90名 CRF 患者，根据年龄分为老年组56例和非老年组34例，并观察两组患者治疗前后肌酐（serum creatinine，Scr）、尿素氮（blood urea nitrogen，BUN）、血红蛋白（hemo-globin，Hb）、甘油三脂（triglycerides，TG）、C 反应蛋白（C-reaction protein，CRP）等指标变化以及相关并发症发生率。结果：两组患者经治疗后，Scr、BUN、Hb、TC、CRP 等指标均较治疗前明显改善；老年组并发症发生率明显高于非老年组。结论：血液透析治疗对老年 CRF 患者显著有效。