连续性静脉静脉血液滤过治疗肝肾综合征的临床研究  

Clinlic study of continuous venovenous hemofiltration in treatment of hepatorenal syndrome

作　　者：李靖[1] 肖琼[1] 韩志武[1] 夏小红[1] 涂娟[1] 王芳[1] 徐友平[1] 姚国乾[1] 

机构地区：[1]中国人民解放军第161医院全军血液净化中心,湖北武汉430010

出　　处：《中西医结合肝病杂志》2012年第2期87-88,103,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:观察连续性静脉静脉血液滤过(continuous venovenous hemofiltration,CVVH)治疗肝肾综合征(hepatorenal syndrome,HRS)的疗效。方法:32例HRS患者随机分为两组,治疗组16例采用CVVH治疗,对照组16例采用单纯药物治疗,两组患者均接收一般内科治疗。结果:治疗后治疗组患者肾功能、电解质、平均动脉压的改善水平与对照组相比,差异有显著性意义(P<0.05);生存率较对照组高,差异有显著性意义(P<0.05)。结论:CV-VH是治疗肝硬化并发HRS的有效方法。Objective： To evaluate the effect of continuous venovenous hemofiltration （CVVH） in the treatment of hepatorenal syndrome. Methods： A total of 32 patients with hepatorenal syndrome were divided into 2 groups randomly. The group A （ n = 16） was treated with CVVH. The group B （n = 16 ） was treated with general medical therapy. Both groups received the basic treatment. Results： Renal function tests, serum electrolyte level, mean arterial and survival rate were much better in patients with CVVH therapy than those in patients with general medical therapy alone. Conclusion： CVVH is an effective way in the treatment of hepatorenal syndrome.

关 键 词：肝肾综合征 连续性静脉静脉血液滤过 肝硬化 

分 类 号：R459.5[医药卫生—治疗学]