血液透析对尿毒症并发急性心力衰竭的治疗作用  

RESEARCH OF THERAPEUTICAL EFFECT OF HEMATODIALYSIS TREATMENT FOR UREMIA WITH ACUTE HEART FAILURE

作　　者：郎学聪 张亮[1] 刘丽[1] 贾钰铭[1] 刘牧[1] 胡萍[1] 

机构地区：[1]四川省宜宾市第二人民医院,宜宾644000

出　　处：《现代预防医学》2007年第15期2973-2974,共2页Modern Preventive Medicine

摘　　要：[目的]探讨血液透析(HD)治疗尿毒症并发急性心力衰竭的临床疗效。[方法]血液透析治疗尿毒症并发心力衰竭患者78例,观察其血透前后各项临床和生化指标的变化情况。[结果]78例患者血液透析前后体重、尿素氮、血肌酐、二氧化碳结合力、血钾水平等生化指标变化对比差异均有统计学意义(P﹤0.00l);反映心功能的各项临床指标(如心率、平均动脉压、呼吸频率)明显改善(P﹤0.00l);临床症状明显缓解,心功能改善2级以上68例(87.18%);心功能改善1级以上8例(10.26%);心功能无明显改善2例(2.56%)。心力衰竭改善的总有效率达97.44%。[结论]血液透析对尿毒症并发心力衰竭患者的心功能改善有良好的治疗效果。[ Objective] To explore the therapeutical effect of hemotodialysis （HD） treatment for uremia patients. [Methods] 78 cases of uremia patients with acute heart failure were treated by hemotodialysis, and the changes of clinical and biochemical indicators before and after hemotodialysis treatment were observed. [ Results] The levels of weight, urea nitrogen, serum creatinine, CO2CP and potassium of 78 cases before and after hemotodialysis treatment changed significantly （P 〈 0.001）. Clinical indicators of heart functions （such as heart rate, the average arterial pressure, breathing frequency） significantly improved （P〈 0.001）. Clinical symptoms relieved obviously, for the improvement of heart function for 2 level and above oocured in 68 cases （87.18%）, and the improvement of heart function for 1 level and above occured in 8 cases （10,26%）, No improvement of heart function occured in 2 eases （2.56%）. The overall efficiettey of tee improvement of acute heart failture was 97.44%. [Conclusion] hemotodialysis treatment can improve the heart function of uremia patients with acute heart failure.

关 键 词：心力衰竭 尿毒症 血液透析 心功能 

分 类 号：R692.5[医药卫生—泌尿科学]