目的探讨杂合型血液净化治疗慢性肾衰竭患者的临床效果及对患者微炎症反应、生活质量的影响。方法选取2017年1月至2019年5月我院收治的慢性肾衰竭患者78例为研究对象,采用随机数字法分为对照组和观察组,每组39例。对照组患者给予单纯的血液透析治疗,观察组患者给予杂合型血液净化(血液灌流联合血液透析)治疗,疗程3个月。比较两组患者治疗前后的肾功能、微炎症指标水平及生活质量。结果治疗前,两组患者的血肌酐(Scr)、尿素氮(BUN)、血肌酐清除率(Ccr)水平比较,差异无统计学意义(P>0.05);治疗3个月后,观察组患者的Scr、BUN水平显著低于对照组,Ccr水平显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平比较,差异无统计学意义(P>0.05);治疗3个月后,观察组患者的hs-CRP、TNF-α、IL-6水平显著低于对照组,心理状态、身体功能与社会功能评分高于对照组,差异有统计学意义(P<0.05)。结论杂合型血液净化治疗慢性肾衰竭患者的临床效果明显优于单纯血液透析治疗,可更有效地改善患者的肾功能、减轻微炎症反应、提高生活质量。
ObjectiveTo explore the clinical effect of heterozygous blood purification on chronic renal failure and its influence on micro inflammatory response and life quality. MethodsA total of 78 patients with chronic renal failure admitted to our hospital from January 2017 to May 2019 were selected as the research objects, and they were divided into control group and observation group by the random number method, with 39 cases in each group. The control group was treated with simple hemodialysis, whereas the observation group was treated with heterozygous blood purification (hemoperfusion combined with hemodialysis), for a three-month treatment course. The renal function, micro inflammatory indexes levels and life quality were compared between the two groups before and after treatment. ResultsBefore treatment, there were no statistically significant differences in the levels of serum creatinine (Scr), urea nitrogen (BUN), and serum creatinine clearance (Ccr) between the two groups (P>0.05). After 3 months of treatment, compared with the control group, the observation group yielded lower levels of Scr and BUN, while a higher level of Ccr, with statistically significant differences (P<0.05). Before treatment, there were no statistically significant differences in high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) levels between the two groups (P>0.05). After 3 months of treatment, the observation group yielded lower levels of hs-CRP, TNF-α, and IL-6, whereas higher scores of mental state, physical function and social function as compared with the control group, with statistically significant differences (P<0.05). ConclusionThe clinical effect of heterozygous blood purification in the treatment of patients with chronic renal failure is significantly superior to that of simple hemodialysis, which can more effectively improve renal function, reduce micro inflammatory response, and improve life quality.