目的：观察序贯结肠透析对慢性早中期肾功能衰竭的疗效。方法：对300例慢性早中期肾功能衰竭的患者进行序贯结肠透析治疗，观察其症状，治疗前后血肌酐尿素氮水平的变化。结果：300例患者中，总有效率98％，肌酐尿素氮水平有明显变化。结论：序贯结肠透析对慢性早中期肾功能衰竭患者疗效显著。

Objective:To observe the sequential colon dialysis for chronic renal failure in early and mid-efficacy.Methods:300 cases of chronic renal failure in early and mid-sequential colon dialysis patients,the symptoms observed before and after treatment serum creatinine levels in blood urea nitrogen. Results:300 patients,the total efficiency of 98%,creatinine blood urea nitrogen levels change significantly.Conclusion:sequential colon dialysis for chronic renal failure patients early and mid-significant effect.

目的 探讨血浆置换联合持缓式血液透析滤过治疗重型肝炎的疗效和安全性。方法 选择40例重型肝炎患者序贯应用血浆置换联合持缓式血液透析滤过治疗作为治疗组，40例重型肝炎患者单纯应用血浆置换作为对照组，分别观察两组治疗前后症状、体征变化，比较治疗前后血生化及血氨。结果 两组患者均能完成治疗。两组患者治疗前后各肝功能指标比较差异有统计学意义（P〈0.05），治疗组低血钠改善、近期有效率增高、病死率降低（P〈0.05）。结论 血浆置换联合持缓式血液透析滤过治疗能显著改善重型肝炎患者肝功能，疗效比单纯应用血浆置换治疗提高，是辅助治疗重型肝炎的一种安全有效治疗手段。

Objective To study the efficacy and safety of plasma exchange combined with slow type hemodialysis in the treatment of severe hepatitis. Methods 40 severe hepatitis patients with sequential application of plasma exchange combined with a slow type hemodialysis therapy were selected as the treatment group, 40 severe hepatitis patients with simple application of plasma exchange were selected as the control group. The primary outcome was a composite of the changes of symptoms and signs before and after treatment, blood chemistry and blood ammonia levels before and after treatment. Results Both of the patients in the two groups were able to complete the treatment. The liver function indexes before the treatment were significantly different from those after the treatment (P<0.05). Hyponatremia in the treatment group and recent efficiency improved, while fatality rate reduced (P<0.05). Conclusions Plasma exchange combined with a slow type hemodialysis therapy can significantly improve the liv

目的：探讨钠曲线联合低温透析预防透析在血液透析相关性低血压的作用。方法对于我院2012年6月至2013年20例维持性血液透析患者进行先后自身对照，实验组选用钠曲线联合低温透析4周，对照组仅采用低温透析，观察比较两组患者血液透析中低血压、头昏出汗、肌肉痉挛发生率。结果低温透析与低温+钠曲线透析两种模式均能显著降低透析低血压、头晕出汗、肌肉痉挛等透析并发症发生率。(P<0.01)。而低温+钠曲线透析较低温透析降低透析急性并发症效果更显著。（P<0.05）结论单纯低温透析及钠曲线联合低温透析均可减少血液透析低血压发生率，钠曲线联合低温透析防止低血压效果更为明显。

Objective To evaluate the effects of blood volume monitoring combined with dialysate sodium and progressive low temperature on hemodialysis-related hypotension.Method Two groups of 20 patients suffering from uremia with conventional hemodialysis were chosen by the blood pressure during hemodialysis interphase.Group A’s patients received dialysate sodium and progressive low temperature proifle hemodialysis for 4 week. Group B’s patients received low temperature on hemodialysis-related for 4 week. To observe and compare the incidence of the low blood pressure,dizziness,naupathia,disgor ge,muscle spasm.Results Using of dialysate sodium and progressive low temperature can obviously reduce the incidence of the acute eomplications of hemodialysis(P<0.05).Conclusion Using of dialysate sodium and progressive low temperature can obviously reduce the incidence of the acute eomplications of hemodialysis.

目的：研究不同透析方式对维持性血透患者IL-6、CRP的影响。方法选取90例透析患者，随机分为血液透析（ HD）、血液透析滤过（ HDF）、血液透析＋血液灌流（ HDP）组，每组30例。检测透析前及透析2月后血清IL-6及CRP浓度。令选取10名健康体检者作为对照组。结果所有透析患者透析前后IL-6及CRP均显著高于对照组。透析后HDP组IL-6及CRP均显著下降，且均低于HD及HDF组。结论血液透析联合血液灌流能够改善透析患者微炎症状态。

Objective To study the IL-6 and CRP level of maintenance hemodialysis patients using different hemodialysis methods. Methods 90 cases of dialysis patients were randomly divided into hemodialysis ( HD) , hemodiafiltration( HDF) , hemodialysis+hemoperfusion( HDP) group, 30 cases in each group. Serum IL-6 and CRP level were mesured before and 2 months after hemodialysis. 10 healthy subjects were selected as con-trols. Results All dialysis patients IL-6 and CRP level were significantly higher than control group. After dialysis, HDP group IL-6 and CRP were significantly decreased, and were lower than the HD and HDF groups. Conclusion Hemodialysis and hemoperfusion can improve micro-inflammatory state in dialysis patients.

目的探讨集束化护理干预在维持性血液透析中的应用效果。方法选择陕西省友谊医院2012年1月~2013年1月进行维持性血液透析患者100例临床资料,依据护理措施不同分为常规护理组50例和集束化护理组50例。观察两组维持性血液透析患者血液透析依从性、生活习惯依从性、饮食依从性和运动依从性情况,观察两组维持性血液透析患者透析前血压、透析过程中血压、透析前血钠浓度、透析后血钠浓度、透析前体温、透析过程中体温情况。结果两组患者透析前血压、透析前血钠浓度、透析后血钠浓度、透析前体温差异无统计学意义(P0.05);集束化护理组血液透析依从性、生活习惯依从性、饮食依从性和运动依从性均高于常规护理组,集束化护理组透析过程中血压、透析过程中体温均优于常规护理组,差异均有统计学意义(P0.05)。结论集束化护理干预在维持性血液透析中的应用后可以明显提高患者治疗依从性,减少不良反应发生,值得临床推广应用。

Objective To investigate application result detection of hemodialysis by cluster nursing intervention. Meth-ods 100 cases of hemodialysis patients in Shaanxi Friendship Hospital from January 2012 to January 2013 were select-ed and divided into conventional nursing group with 50 cases and cluster based nursing group with 50 cases. The hemodialysis compliance, living habits compliance, dietary compliance, exercise adherence of two groups were detected, the blood pressure before dialysis, blood pressure during dialysis, serum sodium concentration before dialysis, serum sodium concentrations after dialysis, body temperature before dialysis, temperature in the process of dialysis of two groups were detected. Results The differences of blood pressure before dialysis, serum sodium concentration before dialysis, serum sodium concentrations after dialysis, body temperature before dialysis of two groups were not statistical-ly significant (P> 0.05). Hemodialysis compliance, living habits complia