To analyze the clinical effect of hemodialysis combined with peritoneal dialysis for chronic renal failure
分析血液透析联合腹膜透析治疗慢性肾功能衰竭的临床效果

摘要

目的 分析血液透析联合腹膜透析治疗慢性肾功能衰竭的临床效果。方法 选取2023年5月-2024年5月本院收治的慢性肾功能衰竭患者共计60例展开研究，对照组行腹膜透析治疗；观察组行血液透析联合腹膜透析治疗，两组以数字法均纳入30例。对比两组治疗前后的尿素氮、血肌酐、血红蛋白、白蛋白水平；统计治疗后发生低蛋白血症、腹膜感染、营养不良、皮肤搔痒症状的并发症比率。结果 治疗前，两组尿素氮、血肌酐、血红蛋白、白蛋白水平无明显数据差，P>0.05。治疗后观察组的尿素氮、血肌酐水平明显降低；血红蛋白、白蛋白水平明显升高，P<0.05。观察组并发症的概率为10%，偏低，对照组的并发症概率为33.33%，偏高，P<0.05。结论 慢性肾功能衰竭采取血液透析联合腹膜透析治疗，有助于降低患者毒素水平，改善肾脏病患者临床症状且并发症较少，具有实施安全价值。

Abstract

Objective To analyze the clinical efficacy of hemodialysis combined with peritoneal dialysis in the treatment of chronic renal failure.
Methods A total of 60 cases of chronic renal failure admitted to our hospital from August 2023 to August 2024 were selected for the study, with the control group receiving peritoneal dialysis treatment; The observation group underwent hemodialysis combined with peritoneal dialysis treatment, and both groups included 30 cases using the numerical method. Compare the levels of blood urea nitrogen, creatinine, hemoglobin, and albumin between two groups before and after treatment; Calculate the incidence of complications such as hypoalbuminemia, peritoneal infection, malnutrition, and skin symptoms after treatment.
Results Before treatment, there was no significant difference in the levels of urea nitrogen, blood creatinine, hemoglobin, and albumin between the two groups, with P>0.05. After treatment, the levels of urea nitrogen and blood creatinine in the observation group were significantly lower; The levels of hemoglobin and albumin were significantly elevated with P<0.05. The probability of complications in the observation group is 10%, which is relatively low, while the probability of complications in the control group is 33.33%, which is relatively high (P<0.05).
Conclusion   The combination of hemodialysis and peritoneal dialysis for the treatment of chronic renal failure can help improve patients' renal function, alleviate clinical symptoms, and have fewer complications, making it safe to implement.