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目的:观察结肠透析机治疗不同程度慢性肾功能衰竭的疗效。方法:94例慢性肾功能衰竭患者,按其在治疗前的血肌酐水平分为四组:肾功能代偿期(血肌酐:133~177μmol/L);肾功能失代偿期(血肌酐:178~422μmol/L);肾功能衰竭期(血肌酐:443~707μmol/L);尿毒症期(血肌酐:>707μmol/L)。四组患者均在常规治疗的基础上应用结肠透析机治疗。观察期为4周,观察临床症状、临床效果、血肌酐的变化,以血肌酐的变化作为判断结肠透析治疗的疗效。结果:结肠透析治疗可明显改善慢性肾功能衰竭患者的临床症状,其好转率>80%;临床效果较好,总有效率>88%;结肠透析治疗对不同程度的慢性肾功能衰竭的疗效进行比较,发现肾功能代偿期、失代偿期和衰竭期明显好于尿毒症期(P<0.01)。代偿期和失代偿期明显好于衰竭期(P<0.05),且前两者之间差别不明显。结论:结肠透析机治疗中、早期慢性肾功能衰竭疗效确切,且价格便宜,操作简单,值得推广使用。
Objective: To observe the effect of colonic dialysis machine in treating chronic renal failure of different degrees. Methods: Ninety-four patients with chronic renal failure were divided into four groups according to the level of serum creatinine before treatment: renal decompensation (serum creatinine: 133 ~ 177μmol / L); renal decompensation (serum creatinine: 178-422 μmol / L); renal failure (serum creatinine: 443-707 μmol / L); uremia (serum creatinine:> 707 μmol / L). Four groups of patients were treated with colon dialysis machine on the basis of routine treatment. Observation period of 4 weeks, observe the clinical symptoms, clinical effects, changes in serum creatinine, serum creatinine as a judgment of the efficacy of colon dialysis. Results: Colon dialysis treatment can significantly improve the clinical symptoms of patients with chronic renal failure, the improvement rate of> 80%; clinical effect is better, the total effective rate> 88%; colon dialysis treatment of varying degrees of chronic renal failure Comparisons found that renal decompensation, decompensation and failure were significantly better than uremia (P <0.01). The decompensation and decompensation were significantly better than the failure (P <0.05), and the difference between the former two was not obvious. Conclusion: The treatment of colon dialysis machine in the early chronic renal failure curative effect is exact, and the price is cheap, easy to operate, it is worth to promote the use.