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目的:探讨氟哌啶醇联合血液灌流对维持性血液透析患者并发兴奋性精神异常治疗的价值。方法:选取2012年5月-2014年5月本院收治的维持性血液透析并发兴奋性精神异常患者40例作为治疗组,选择本院同期维性持血液透析患者40例作为对照组,比较其治疗效果。采用随机数字表法将治疗组分为氟哌啶醇组和传统治疗组,两组均给予血液透析及血液灌流,氟哌啶醇组在此基础上给予氟哌啶醇治疗,比较两组临床疗效。结果:治疗组与对照组职业、年龄、透析频次、PTH、CRP、血色素水平及血清白蛋白比较,差异均有统计学意义(P<0.05),氟哌啶醇组治疗24、36、48 h后的精神症状缓解的患者例数多于对照组,比较差异均有统计学意义(P<0.05)。结论:维持性血透并发兴奋性精神异常的发生与患者职业、年龄、透析频次、PTH、CRP、血色素水平及血清白蛋白有关;采用氟哌啶醇联合血液灌流治疗维持性血液透析患者并发兴奋性精神异常的效果显著,可推广应用。
Objective: To investigate the value of haloperidol combined with hemoperfusion in patients with maintenance hemodialysis complicated with excitability disorders. Methods: Forty patients with maintenance hemodialysis complicated with excitatory mental disorders admitted to our hospital from May 2012 to May 2014 were selected as the treatment group. 40 patients with hemodialysis in our hospital were selected as the control group and compared with each other treatment effect. The treatment group was divided into the haloperidol group and the traditional treatment group by the random number table method. Both groups were given hemodialysis and hemoperfusion. The haloperidol group was given haloperidol to treat the two groups, Efficacy. Results: There were significant differences in occupation, age, dialysis frequency, PTH, CRP, hemoglobin and serum albumin between the treatment group and the control group (P <0.05) The number of patients with psychiatric symptoms relief was more than that of the control group, with significant difference (P <0.05). CONCLUSIONS: The occurrence of maintenance hemodialysis complicated with excitatory mental disorders is related to the occupational status, age, dialysis frequency, PTH, CRP, hemoglobin level and serum albumin. The combination of haloperidol and hemoperfusion in patients with maintenance hemodialysis complicated with excitability The effect of abnormal sexual spirit significantly, can be extended.