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目的观察和分析HD+HP联合模式治疗尿毒症性皮肤瘙痒的临床效果。方法对2009年2月——2013年2月间来我院治疗的18例尿毒症皮肤瘙痒患者采用血液灌流联合血液透析治疗。在对18例患者给予原来血液透析方案治疗的基础上,再给予血液透析联合血液灌流1次/2周,连续灌流治疗8周。对患者治疗前后皮肤瘙痒进行评分,观察疗效。结果 15例患者有显效(83.33%),有2例患者为有效(11.11%),1例无效(5.56%),总有效率94.44%。结论 HD+HP联合治疗模式是治疗尿毒症患者顽固性皮肤瘙痒非常有效的方法 ,可明显地改善UP患者的临床症状,很大程度地提高患者的生活质量,值得进一步地临床推广。
Objective To observe and analyze the clinical effect of combined HD + HP treatment of uremic pruritus. Methods 18 cases of uremic pruritus who were treated in our hospital from February 2009 to February 2013 were treated with hemoperfusion combined with hemodialysis. On the basis of the original hemodialysis treatment in 18 patients, hemodialysis combined with hemoperfusion 1/2 weeks, continuous perfusion for 8 weeks. Patients with pruritus before and after treatment score, observe the effect. Results Fifteen patients were markedly effective (83.33%), two were effective (11.11%), one was ineffective (5.56%) and the total effective rate was 94.44%. Conclusions HD + HP combination therapy is a very effective method for the treatment of intractable pruritus in uremic patients. It can significantly improve the clinical symptoms of UP patients and greatly improve the quality of life of patients. It is worth further clinical promotion.