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目的:探讨老年尿毒症经营养支持疗法与维持性血液透析联合治疗的临床疗效。方法:选取84例老年尿毒症患者随机分为两组,每组42例,对照组给行维持性血液透析治疗,观察组则在此基础上行营养支持联合治疗,比较两组患者的生存率和并发症的发生情况。结果:组间1年、3年和5年生存率比较,差异均具有统计学意义(P<0.05);观察组的并发症发生率为14.29%,低于对照组的35.71%,组间差异显著,存在统计学意义(P<0.05)。结论:采用营养支持疗法与维持性血液透析联合治疗老年尿毒症可以有效提高其生存状况,减少并发症,具有较高的有效性和安全性,适合临床推广。
Objective: To investigate the clinical efficacy of combination therapy of elderly patients with uremia with nutritional supportive therapy and maintenance hemodialysis. Methods: Eighty-four elderly patients with uremia were randomly divided into two groups (n = 42 in each group). Patients in the control group underwent maintenance hemodialysis. On the basis of this, the observation group received nutritional support and combination therapy. The survival rates and Complications of the situation. Results: The 1-year, 3-year and 5-year survival rates were significantly different between two groups (P <0.05). Complication rate in observation group was 14.29%, which was lower than that in control group (35.71%). Significantly, there was a statistically significant (P <0.05). Conclusion: The combination of nutrition supportive therapy and maintenance hemodialysis can effectively improve the living condition and reduce the complications of senile uremia. It has high efficiency and safety and is suitable for clinical popularization.