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不同血液透析方式对超敏心肌肌钙蛋白T水平的影响

王晓玉 唐新仿 王锦年 柳震伦 张安娜

中外医学研究2016,Vol.14Issue(21):1-3,3.
中外医学研究2016,Vol.14Issue(21):1-3,3.DOI:10.14033/j.cnki.cfmr.2016.21.001

不同血液透析方式对超敏心肌肌钙蛋白T水平的影响

Influences of Different Hemodialysis Methods on the Plasma Level of High Sensitive Cardiac Troponin T

王晓玉 1唐新仿 1王锦年 1柳震伦 1张安娜1

作者信息

  • 1. 连云港市东方医院 江苏 连云港 222042
  • 折叠

摘要

Abstract

Objective:To investigate the influences of low-flux hemodialysis(LF-HD),high-flux hemodialysis(HF-HD) and hemodialysis filtration(HDF) on the plasma level of high sensitive cardiac troponin T(hs-cTnT).Method:Forty-eight hemodialysis(HD) patients from July 2015 to February 2016 in our hospital were included in this design as the experimental group,who were randomized to start dialysis with LF-HD,HF-HD or HDF.Each mode of dialysis lasted two consecutive weeks,three times a week,4 hours of every dialysis.The plasma levels of hs-cTnT were measured before and after dialysis,the effective values were corrected for extent of ultrafiltration.Result:After the treatment of LF-HD,the hs-cTnT tended to increase but the difference was not statistically significant(P>0.05),while the hs-cTnT levels increased significantly in patients with cardiovascular disease,the difference was statistically significant(P=0.020). The levels of hs-cTnT decreased significantly after the treatment of HF-HD and HDF,the differences were statistically significant(P<0.05).Conclusion:Cardiac biomarker hs-cTnT levels had no statistically difference after LF-HD in HD patients,while the hs-cTnT levels decrease significantly after HF-HD and HDF, which can mask the increases of cardiac biomarker caused by myocardial infarction.

关键词

低通量透析/高通量透析/血液透析滤过/超敏心肌肌钙蛋白T

Key words

Low-flux hemodialysis/High-flux hemodialysis/Hemodialysis filtration/High sensitive cardiac troponin T

分类

医药卫生

引用本文复制引用

王晓玉,唐新仿,王锦年,柳震伦,张安娜..不同血液透析方式对超敏心肌肌钙蛋白T水平的影响[J].中外医学研究,2016,14(21):1-3,3.

中外医学研究

1674-6805

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