<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v10i3.14485</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>The Impact of HFHD on Calcium-Phosphorus Metabolism and Nutritional Indicators in Patients with Chronic Kidney Disease</title><url>https://artdesignp.com/journal/JCNR/10/3/10.26689/jcnr.v10i3.14485</url><author>LuQian,ShiYin,LiuChanghua</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>10</volume><issue>3</issue><history><date date-type="pub"><published-time>2026-04-10</published-time></date></history><abstract>Objective: To analyze the effects of high-flux hemodialysis (HFHD) on calcium and phosphorus metabolism and nutritional indicators in patients with chronic kidney disease (CKD). Methods: A total of 86 CKD patients diagnosed in our hospital’s Nephrology Department between January 2024 and December 2025 and undergoing HFHD were enrolled. Using a random number table, all patients were divided into a control group (n = 43, receiving conventional hemodialysis) and a study group (n = 43, receiving HFHD). SPSS 26.0 statistical software was used to compare calcium-phosphorus metabolism and nutritional indicators between the two groups. Results: After 6 months of treatment, the PTH level in the study group was significantly lower than that in the control group, while serum calcium and phosphorus levels were significantly higher (p &amp;lt; 0.05). The Alb and Hb levels in the study group were higher than those in the control group, but the difference was not statistically significant (p &amp;gt; 0.05). Conclusion: HFHD maintains calcium-phosphorus metabolism balance in CKD patients while significantly improving nutritional indicators.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>Wang Y, Chen W, Liu W, et al., 2025, Prognosis of Fermented Cordyceps Powder Treatment in Patients with Stage 4 Chronic Kidney Disease: Findings from a Retrospective Cohort Study. Chinese General Practice, 28(9): 1084–1091.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Yang C, Zhang L, Zhao M, 2023, Interpretation of the Chinese Guidelines for Early Evaluation and Management of Chronic Kidney Disease. Chinese Journal of Practical Internal Medicine, 43(10): 839–841 + 876.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Wang J, 2025, Comparative Efficacy of Continuous Ambulatory Peritoneal Dialysis Versus Low-Flux Haemodialysis in End-Stage Renal Disease Patients. Doctor, 10(24): 141–144.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Chen A, Liu A, Li H, et al., 2025, Clinical Observation of High-Flux Haemodialysis in the Treatment of End-Stage Renal Disease. China Science and Technology Journal Database: Medicine, 2025(9): 78–81.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>Yang K, Sun Y, Zhou Y, 2025, A Study on Dialysis Adequacy with Hemodiafiltration Combined with High-Flux Hemodialysis. Chinese Science &amp; Technology Journal Database (Citation Edition) Medicine &amp; Health, 2025(9): 153–156.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>Gao X, Mei C, 2022, Interpretation of the Guidelines for Early Screening, Diagnosis and Prevention of Chronic Kidney Disease (2022 Edition). Chinese Journal of Practical Internal Medicine, 42(9): 735–739.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B7" content-type="article"><label>7</label><element-citation publication-type="journal"><p>Liu Q, Xu Q, Zheng H, et al., 2025, Meta-Analysis and Pharmacoeconomic Evaluation of Valsartan Treatment for Chronic Kidney Disease with Hypertension. Chinese Journal of Modern Applied Pharmacy, 42(1): 124–129.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B8" content-type="article"><label>8</label><element-citation publication-type="journal"><p>Dai Z, Li G, Zhai X, et al., 2025, Therapeutic Observation of Colon Dialysis Combined with Chinese Herbal Retention Enema in Patients with Chronic Kidney Disease Stages 3b–4. Chinese Prescription Drugs, 23(1): 98–101.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B9" content-type="article"><label>9</label><element-citation publication-type="journal"><p>Liu X, Mao F, Chen Y, et al., 2025, Effectiveness and Prognostic Impact of High-Flux Haemodialysis Combined with Different Frequencies of Hemodiafiltration in Uremic Patients. Medical Theory and Practice, 38(10): 1695–1697 + 1723.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B10" content-type="article"><label>10</label><element-citation publication-type="journal"><p>Wen X, Kuang G, Zhou Y, 2025, Application Value and Infection Risk of High-Flux Haemodialysis in Patients Undergoing Maintenance Haemodialysis. Chinese Journal of Practical Medicine, 20(1): 45–49.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B11" content-type="article"><label>11</label><element-citation publication-type="journal"><p>Luo L, 2025, Clinical Efficacy Analysis of High-Flux Haemodialysis in Treating Chronic Kidney Disease. Chinese Journal of Community Physician, 41(15): 58–60.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B12" content-type="article"><label>12</label><element-citation publication-type="journal"><p>Hu Y, Zhou X, Ying C, 2025, Safety of High-Flux Haemodialysis in the Treatment of Chronic Kidney Disease Patients. Dialysis and Artificial Organs, 36(2): 25–28.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B13" content-type="article"><label>13</label><element-citation publication-type="journal"><p>Wang Z, Chai M, 2025, Clinical Efficacy of Jianspibixue Tablets Combined with High-Flux Haemodialysis in Treating End-Stage Renal Disease and Its Effects on Microinflammation Status and Renal Function. Tianjin Journal of Traditional Chinese Medicine, 42(6): 714–718.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B14" content-type="article"><label>14</label><element-citation publication-type="journal"><p>Wang J, Kang R, 2025, Investigation into the Efficacy and Safety of Rosuvastatin Combined with High-Flux Haemodialysis in Patients with Chronic Kidney Disease. Chinese Journal of Modern Drug Application, 19(11): 127–130.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B15" content-type="article"><label>15</label><element-citation publication-type="journal"><p>Armani G, Carvalho B, Silva E, et al., 2024, Effect of Haemodialysis with Medium Cut-Off vs High-Flux Membranes on Endothelial Function in Patients with Chronic Kidney Disease. Blood Purification, 53(7): 565–573.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B16" content-type="article"><label>16</label><element-citation publication-type="journal"><p>Tang X, 2025, Clinical Efficacy of High-Flux Haemodialysis in End-Stage Renal Disease Patients. Systems Medicine, 10(8): 83–85.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B17" content-type="article"><label>17</label><element-citation publication-type="journal"><p>Jia Y, Li G, 2025, Efficacy and Impact on Toxin Indicators of Sequential High-Flux Haemodialysis Combined with Hemodiafiltration in Chronic Renal Failure. System Medicine, 10(13): 100–102 + 106.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B18" content-type="article"><label>18</label><element-citation publication-type="journal"><p>Chen W, 2025, Effects of Yishen Xie Zhuo Decoction Retention Enema Combined with High-Flux Haemodialysis on Calcium-Phosphorus Metabolism and Nutritional Indicators in Patients with Hyperphosphataemia Due to Chronic Kidney Disease. Reflex Therapy and Rehabilitation Medicine, 6(1): 20–23.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
