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《Chinese Journal of Difficult and Complicated Cases》 2017-12
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Effect of peritoneal dialysis on serum BUN,SCr and cytokine levels in chronic renal failure

LIU Fujingzhang;JIANG Kangwei;WEN Lisi;HE Laichang;CHEN Haijin;MIU Xu;MO Dongmei;Department of Nephrology,Guangdong Nongken Central Hospital;  
Objective To analyze and investigate the effect of peritoneal dialysis on BUN,SCr and cytokine levels in chronic renal failure. Methods One hundred and fifty cases of patients with chronic renal failure were selected,which were treated in hospital from May 2013 to May 2016,and they were divided into observation group( 75 cases) and control group( 75 cases). The patients of observation group were treated with peritoneal dialysis,while the patients of control group were treated with hemodialysis. The survival rate,complication rate and changes of renal function,biochemical markers and cytokines levels of two groups were compared. Results After the appropriate treatment,the renal function index( BUN,SCr,24 h UP) of the two groups were all significantly decreased than before,but the difference between groups was not statistically significant( t = 0. 622,t = 0. 247,t = 1. 438,P = 0. 267,P = 0. 402,P = 0. 076); Biochemical indicators( Alb,Hb and RBC) levels of the two groups were all significantly improved than before,and the patients of the observation group got more significant improvement( t = 6. 037,t = 5. 087,t = 3. 163,P = 0. 000,P = 0. 000,P = 0. 001); Cytokines( CRP,TNF-αand IL-6) levels of the two groups were all significantly decreased than before,but the difference between groups was not statistically significant( t = 0. 683,t = 1. 256,t = 0. 567,P = 0. 248,P = 0. 106,P = 0. 286); There was no statistically significant difference in survival rate between the two groups( χ~2= 0. 362,χ~2= 0. 432,P = 0. 547,P = 0. 511); The incidence of cardiovascular and cerebrovascular diseases in the observation group was significantly lower than that in the control group( χ~2= 13. 453,P = 0. 000). Conclusion Peritoneal dialysis in treating patients with chronic renal failure can achieve similar clinical results with hemodialysis,significantly improve the patient's renal function,biochemical indicators,reduce the levels of cytokines,which makes it worthy of popularization and application.
【CateGory Index】: R692.5
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