高通量血液透析对维持性血液透析患者左心室结构和功能的影响

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Abstract Objective To investigate the effects of high flux hemodialysis on cardiac structure and function in maintenance hemodialysis patients, and to study the possible mechanism. Methods The study was prospective and self-controlled.A totol of 88 patients on maintainance low flux hemodialysis were recruited, after changing to a high flux hemodialysis treatment for 24 months. Their cardiac structure and function were compared by echocardiography respectively. Serum creatinine(SCr), blood urea nitrogen(BUN), serum phosphorus(P), calcium(Ca), intact parathyroid hormone(iPTH), β₂- microglobulin(β₂-MG),high sensitivity C-reactive protein(hs-CRP), albumin(ALB),and hemoglobin(Hb) levels were determined after the switch for 0, 12 and 24 months. Results There was no significant atteration of the cardiac function indexes of LAD, LVPWT, IVST, LVEF, E/A, compared with before after 12 months’ treatment of HFHD.But patients with HDHF on treatment for 24 months, had significant alteration of the cardiac function indexes of LAD, LVDd, LVPWT, IVST, LVEF compared with before (P＜0.05). In patients with HDHF on the treatment for 24 months, the clinical indicators of serum ALB, CH, TG, HDL, LDL, Scr, BUN, hs-CRP, DBP, MAP had no differences before and after changing to HFHD, serum Hb and Ca significantly increased after changing to HFHD(P＜0.05),serum P, iPTH、β₂-MG have significantly decreased after changing to HFHD(P＜0.05). Conclusions In MHD patients universally exists left ventricular hypertrophy. Although HFHD may remove plasma medium molecule and macromolecule toxins such as β₂-MG, inflammation substance and improve uremia in the body, it can not improve left ventricular diastolic function.

Key words： high flux hemodialysis left ventricular structure and function serum phosphorus intact parathyroid hormone high sensitivity C-reactive protein

Received: 18 March 2014

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	TU Xiao-Wen
	WANG Huan
	ZHAO Wen-Wen
	WANG Yan-Jun

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TU Xiao-Wen,WANG Huan,ZHAO Wen-Wen等. Effects of high flux hemodialysis on left ventricular structure and function in maintenance hemodialysis patients[J]. , 2014, 25(8): 793-796.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I8/793

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