糖尿病血液透析患者钙磷及甲状旁腺素达标情况分析

摘要

目的：调查糖尿病血液透析患者血清钙、磷及全段甲状旁腺激素（iPT H ）的达标情况及分布特点，为临床治疗提供依据。方法回顾性分析2014年本院维持性血液透析的54例糖尿病患者的血清钙、磷及 iPT H 的水平、达标率，随机选取100例非糖尿病患者作为对照组，并对两组的血清钙、磷、iPT H 的平均水平及达标率进行统计学分析。结果糖尿病血液透析患者血清钙、磷和 iPT H 的达标率分别为55．6％、64．8％、29．6％；与非糖尿病患者比较，糖尿病血液透析患者血磷、iPT H 水平较低，差异有统计学意义（P ＜0．05）。结论糖尿病血液透析患者具有相对较低的 iPT H 水平，低 iPT H 所占比例大。%Objective To observe the standard‐reaching situation and distribution characteristics of calcium , phosphorus and intact parathyroid hormone(iPT H ) levels in the patients with diabetic hemodialysis so as to provide the basis for clinical treatment .Methods The serum calcium ,phosphorus and iPT H levels ,and standard‐reaching rate in 54 patients with maintenance diabetic hemodialysis in our hospital during 2014 were retrospectively analyzed . Meanwhile 100 patients with non‐diabetes were randomly selected as the control group .Then serum calcium ,phos‐phorus and iPT H levels ,and standard‐reaching rate in the two groups were performed the statistical analysis .non‐di‐abetic hemodialysis patients .Results The standard‐reaching rates of serum calcium ,phosphorus and iPT H levels in the diabetic hemodialysis group were 55 .6% ,64 .8% and 29 .6% respectively ,the serum phosphorus and iPT H levels in the diabetic hemodialysis group were lower than those in the non‐diabetes group ,the difference was statistically significant .Conclusion The patients with diabetic hemodialysis have relatively lower iPT H level and the low iPT H level accounts for large proportion .