中外医学研究2016,Vol.14Issue(9):19-20,21,3.DOI:10.14033/j.cnki.cfmr.2016.9.010
血液透析滤过治疗尿毒症皮肤瘙痒临床研究
Clinical Study on Hemodialysis Filtration in the Treatment of Uremic Pruritus
甘参 1王湘川 1邹立华 1刘宏敏1
作者信息
- 1. 湖南师范大学第二附属医院 解放军第163医院湖南 长沙 410003
- 折叠
摘要
Abstract
Objective:To observe the clinical effect of blood dialysis filtration in the treatment of uremic patients with skin itching,and to explore its mechanism.Method:36 maintenance hemodialysis uremia patients with skin itching in our hospital from December 2012 to December 2014,they were randomly divided into the hemodialysis(HD) group and the hemofiltration(HDF) group,18 cases in each group.HD group continued maintenance hemodialysis,the HDF group based on the hemodialysis used blood filtration,2-3 times a week, each time 4 h,the course of treatment for a month.Before and after treatment,the parathyroid hormone(PTH) and serum β2 (β2-MG) levels were detected,the relief of skin itching symptoms was recorded.Result:After treatment,the levels of β2-MG,PTH in the HDF group were lower than those of the HD group,the remission rate of skin pruritus was significantly higher than that of the HD group(P<0.05).Conclusion:Regular hemodialysis combined with blood filtration can effectively alleviate the symptoms of skin itching in uremic patients.关键词
尿毒症/皮肤瘙痒症状/血液透析/血液透析滤过Key words
Uremia/Skin pruritus/Hemodialysis/Hemofiltration分类
医药卫生引用本文复制引用
甘参,王湘川,邹立华,刘宏敏..血液透析滤过治疗尿毒症皮肤瘙痒临床研究[J].中外医学研究,2016,14(9):19-20,21,3.