【摘要】 目的 探讨高通量血液透析临床疗效。方法 将29例患者分成2组，高通量血液透析(HPD)治疗组14例，男6例，女8例:年龄58±9岁。常规血液透析(CHD)对照组15例，男8例，女7例;年龄59±8岁。HPD治疗组采用F60，CHD对照组采用F6;2组每周透析3次，每次4h，观察6个月。结果 2组患者KT/V值，透析前后血肌酐、血尿素氮下降差异无显著性(P>0.05);HPD治疗组血清白蛋白升高优于CHD组，iPTH、血磷、β 2 -MG、TG下降均优于CHD组，差异有非常显著性(P<0.01;P<0.001);2组致热反应发生率经X 2 检验，差异无显著性(P>0.05)。结论 高通量血液透析能有效地清除血磷、PTH、β 2 -MG等中分子毒物，改善血液透析患者的血脂代谢，无蛋白质丢失及热原反应的副作用。

    关键词 高通量血液透析 常规血液透析 iPTH β 2 -MG 血脂代谢

    The observation of curative effect using high permeable hemodialysis

    Zhang Yun，Feng Xuefang，Zhou Rong，et al.

    Department of Hemodialysis，Yangpu District Central Hospital，Shanghai200090.

    【Abstract】 Objective To probe the curative effect using high permeable hemodialysis(HPD).Methods 29cases were divided into two groups.14cases were arranged in the HPD groups.15cases were arranged in the convenˉtional hemodialysis group(CHD).F60dialyser was used in HPD group.F6dialyser was used in CHD group.The dialysis was carried in such method of3/w ......