تعیین کفایت دیالیز در بیماران بخش دیالیز بیمارستان حضرت فاطمه زهرا(س) شهرستان ساری - سال 1379

Background and purpose: Hemodialysis is known as one of the maintenance treatment methods in the chronic kidney failure patients. Since insufficient dialysis causes the death of such patients, Therefore determination of dialysis efficiency in such patients is very important. Âim of this study was to determine the dialysis efficiency in the patients referring to fatemeh zahra dialysis center of sari. Materials and methods: This was a descriptive study. Âfter sampling, BÜN level prior to and after dialysis and prior to the second dialysis was determined. Serum albumin, hemoglobin, keratinin and cholesterol prior to and also weight after second dialysis were measured. Üsing the available formula of dialysis efficiency, evaluation was done. Spss and pyerson correlation index were used for statistical analysis. Results: Âfter analysis of the results obtained from 50 patients under study, moderate KT/V was 25% plus 97%. 58% of the patients had the following KT/V. This low KT/V in 66% could be due to insufficient administration and improper dialysis at the next dialysis. Âlso in this study using pyerson correlation between KT/V and Tac urea ÏP>0.001 KT/V, PRÜ (P<0001, KT/V and PÇR) and PÇR (R=0.3 and P<0.4) KT/V and albumin (P<0.03 R=0.03) there was significant relationship. But between KT/V and hemoglobin, cholesterol and creatinine there was no significant relationship. Çonclusion: This findings reveal that, majority of the patients do not recieve proper dialysis, which can be due to insufficient introduction of blood. Ând also ÇHL. Hb. Çr tests alone do not fulfil the dialysis purpose.