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不同透析方式对慢性肾功能衰竭患者血清叶酸和维生素B12水平的影响

姚向飞 韦巧宁

临床误诊误治2017,Vol.30Issue(5):75-78,4.
临床误诊误治2017,Vol.30Issue(5):75-78,4.DOI:10.3969/j.issn.1002-3429.2017.05.025

不同透析方式对慢性肾功能衰竭患者血清叶酸和维生素B12水平的影响

Effects of Different Hemodialysis Ways on Serum Folic Acid and Vitamin B12 Levels of Patients with Chronic Renal Failure

姚向飞 1韦巧宁2

作者信息

  • 1. 710075 西安,西安高新医院肾脏内科
  • 2. 710061 西安,西安交通大学第一附属医院血液净化科
  • 折叠

摘要

Abstract

Objective To investigate effects of different hemodialysis ways on serum folic acid and vitamin B12 levels of patients with chronic renal failure (CRF).Methods A total of 90 CRF patients admitted during January 2014 and March 2015, who were met entering and precluding standard, were selected and divided into continuous hemodialysis group (n=30), peritoneal dialysis group (n=30) and non dialysis group (n=30), and other 30 healthy people taking medical examination at the same period were selected as control group.Levels of serum folic acid and vitamin B12 levels were compared in four groups, and incidence rates of low serum folic acid and vitamin B12 in the three treatment groups were compared.Results There were significant differences in serum folic acid and vitamin B12 levels between control group and treatment CRF 3 groups (P<0.05).Serum folic acid and vitamin B12 levels in continuous hemodialysis and peritoneal dialysis groups were significantly lower than those in control group and non dialysis group (P<0.05);the levels in continuous hemodialysis group were significantly higher than those in peritoneal dialysis group (P<0.05).The differences in incidence rates of low serum folic acid and low vitamin B12 among treatment CRF 3 groups were statistically significant (P<0.05);the incidence rates in continuous hemodialysis and peritoneal dialysis groups were significantly higher than those in non dialysis group (P<0.05).Conclusion Both Continuous hematodialysis and peritoneal dialysis can decrease levels of serum folic acid and vitamin B12 of CRF patients, and continuous hematodialysis is better than peritoneal dialysis, and it is more suitable for CRF patients than peritoneal dialysis.

关键词

肾功能衰竭,慢性/肾透析/腹膜透析/叶酸/维生素B12

Key words

Kidney failure/chronic/Renal dialysis/Peritoneal dialysis/Folic acid/Vitamin B12

分类

医药卫生

引用本文复制引用

姚向飞,韦巧宁..不同透析方式对慢性肾功能衰竭患者血清叶酸和维生素B12水平的影响[J].临床误诊误治,2017,30(5):75-78,4.

基金项目

陕西省科技厅社发攻关资助项目(2012SF2-22) (2012SF2-22)

临床误诊误治

OACSTPCD

1002-3429

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