Influence of high flux hemodialysis on microinflammatory and nutritional status of uremic patients

Objective To investigate the influence of high flux hemodialysis(HFHD)on microinflam-matory and nutritional status of uremic patients. Methods 155 cases of uremic patients in our hospital from January 2013 to June 2015 were randomly divided into two groups: 82 cases of uremic patients with uremic tr...

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Main Authors: LIU Na, ZHOU Lu, DING Kun, CHEN Ren-gui, ZHAO Wen-qi, YE Ting, SU Dong-dong
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2017-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57916833&Fpath=home&index=0
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Summary:Objective To investigate the influence of high flux hemodialysis(HFHD)on microinflam-matory and nutritional status of uremic patients. Methods 155 cases of uremic patients in our hospital from January 2013 to June 2015 were randomly divided into two groups: 82 cases of uremic patients with uremic treated by HFHD were selected into observation group,and 73 cases of uremic patients with uremic treated by hemodiafiltration + hemoperfusion( HDF + HP) in the same period were selected into control group.Before and 12 months after the treatment,blood samples of 155 patients in each group were taken to detect the indicators of hypersensitive C-reactive protein( hs-CRP),interleukin( IL-6),tumor necrosis factor(TNF-α),triglycerides( TC),total cholesterol( TC),β<sub>2</sub>-microglobulin( β<sub>2</sub>-MG),serum creatinine(SCr),serum phosphorus(Ph),body mass index(BMI),total protein(TP),albumin(Alb),and statistical analyzed. Results After treatment,hs-CRP、IL-6、TNF-α levels of two groups were significantly reduced,statistically difference( P < 0. 05),and hs-CRP、IL-6、TNF-α levels of observation group were significantly lower than control group,statistically difference( P < 0. 05). After treatment,TG,TC,β<sub>2</sub>-MG,SCr,Ph levels of two groups were significantly reduced,statistically difference( P < 0. 05),and TG,TC,β<sub>2</sub>-MG,Scr,Ph levels of observation group were significantly lower than control group,statistically difference( P < 0. 05). After BMI,TP,Alb levels of two groups were significantly increased,statistically difference( P < 0. 05),and BMI,TP,Alb levels of observation group were significantly higher than control group,statistically difference( P < 0. 05). Conclusions Compared with hemodiafiltration + hemoperfusion(HDF + HP),high flux hemodialysis could effectively improve the microinflammatory,renal function and nutritional status of uremic patients.
ISSN:1671-2390