不同血液净化方法治疗重症急性肾衰  

The different blood purification treatment for severe acute renal failure

作　　者：丁凌[1] 杨莹[1] 

机构地区：[1]杭州市第三人民医院重症医学科,浙江杭州310004

出　　处：《中国现代医生》2012年第22期26-27,共2页China Modern Doctor

摘　　要：目的探讨不同血液净化方法治疗重症急性肾衰的效果。方法选择我院收治的重症急性肾衰患者60例,按顺序分为三组:A组采取日间连续性静脉-静脉血液滤过法(CVVHD),B组采取连续性静脉-静脉血液滤过法(CVVH),C组采取连续性静脉-静脉血液透析滤过法(CVVDHF),比较血肌酐、尿素氮、二氧化碳结合力水平,统计肾功能恢复情况及平均每日费用等。结果净化后,三组肾功能、血液的血肌酐、尿素氮、二氧化碳结合力水平无明显差异(P>0.05);但B、C组费用明显高于A组(P<0.05)。结论 CVVDHF与CVVH均效果良好;CVVHD更经济。Objective To discuss the different blood purification treatment clinical effect for severe acute renal failure. Methods Sixty patients who had severe acute renal failure were chosen for the research. Patients in group A were treated by CVVHD; Patients in group B were treated by CVVH and patients in group C were treated by CVVDHF. There was a comprehensive comparison about serum creatinine, urea nitrogen and carbon dioxide-combining power for all groups＇ patients. The treatment effect and dialysis costs of all groups were calculated and an investigation was done. Results The data of serum creatinine, urea nitrogen and carbon dioxide-combining power for all groups＇ patients did not have obvious dif- ferences and the treatment effect of all groups was also nearly the same. But the dialysis costs of group B and C was much more expensive than that of group A. Conclusion Both CVVH and CVVDHF have obvious treatment effects for severe acute renal failure, but CVVHD is cheaper.

关 键 词：血液净化方法 重症急性肾衰 

分 类 号：R692.5[医药卫生—泌尿科学]