杂合肾脏替代治疗肝肾综合征患者的疗效观察  

Effectiveness of hybrid renal replacement therapy in the treatment of hepatorenal syndrome

作　　者：车华[1] 赵文琪[1] 陈仁贵[1] 刘娜[1] 苏东东[1] 

机构地区：[1]广州军区武汉总医院血液净化科,430070

出　　处：《临床肾脏病杂志》2011年第9期404-406,共3页Journal Of Clinical Nephrology

摘　　要：目的探讨杂合。肾脏替代治疗在肝肾综合征中的治疗效果。方法将20例肝肾综合征患者随机分为治疗组与对照组，每组10例。所有患者均给予内科综合治疗，治疗组加用杂合肾脏替代治疗。观察治疗前、后患者的症状、体征及有关实验室检查。结果治疗后，治疗组总有效率70％，对照组总有效率20％，两组比较有显著性差异。治疗组肾功能、肝功能、尿量均较治疗前明显改善。结论杂合肾脏替代治疗能显著提高肝肾综合征的治疗效果。Objective To evaluate the efficacy of hybrid renal replacement therapy in the treatment of hepatorenal syndrome. Methods Twenty patients with hepatorenal syndrome were randomly divided into the treatment group（10 cases） and the control group（10 cases）. Comprehensive medical therapy was given to all patients. Hybrid renal replacement therapy was given to the treatment group simultaneously. The clinical symptoms and the libratory examination were observed before and after the treatment. Results The general effective rate in treatment group and control group was 70% and 20% respectively （P〈0. 01）. In treatment group, renal function, liver function and urine volume were improved significantly after hybrid renal replacement therapy （P〈0. 01）. Conclusions Hybrid renal replacement therapy is effective for treatment of hepatorenal syndrome.

关 键 词：肾透析 肝肾综合征 治疗 

分 类 号：R692.5[医药卫生—泌尿科学]