MỐI LIÊN QUAN GIỮA MỨC ĐỘ SUY THẬN VỚI ĐẶC ĐIỂM LÂM SÀNG, CHỤP CẮT LỚP VI TÍNH LỒNG NGỰC ĐỘ PHÂN GIẢI CAO VÀ CHỨC NĂNG HÔ HẤP Ở BỆNH NHÂN BỆNH THẬN MẠN TÍNH LỌC MÁU CHU KỲ

Abstract

Objectives: Evaluate the relationship between the degree of kidney failure with clinical characteristics, high-resolution chest computed tomography and respiratory function in patients with chronic kidney failure on dialysis at Hospital E. Subjects and method: cross-sectional descriptive study, longitudinal follow-up analyzing 134 chronic kidney failure patients undergoing dialysis at Hospital E from October 2017 to October 2020. Results: There is a correlation between symptoms of edema and pulmonary ventilation disorders, images of lung damage on high-resolution computed tomography with p < 0.05, there is a relationship between acid-base balance disorders and respiratory dysfunction. respiratory, lung damage images on HRCT in patients with chronic kidney failure on dialysis with p < 0.05. There is a positive correlation between plasma Albumin concentration and parameters FEV1 and FVC with correlation coefficients of 0.371 and 0.406. There is a negative correlation between urea concentration and parameters FEV1 and FVC with a correlation coefficient of -0.39; -0.368. There is a negative correlation between creatinine concentration and parameters FEV1 and FVC with a correlation coefficient of -0.588; -0.51. Conclusion: In our study, we found that in patients with chronic kidney disease on dialysis, edema symptoms were related to lung ventilation disorders and lung damage on high-resolution computed tomography, therefore, good management in treating end-stage chronic kidney disease patients with hemodialysis helps limit lung damage in this group of patients.