CRRT在急性左心衰并肾功能不全患者的疗效分析  

Effect Analysis of Continuous Renal Replacement in the Treatment of Left Heart Failure and Renal Insufficiency

作　　者：梅劲超[1] 杨晓燕[1] 

机构地区：[1]广东省潮州市中心医院重症医学科,广东潮州521000

出　　处：《临床医学工程》2013年第11期1383-1384,共2页Clinical Medicine & Engineering

摘　　要：目的探讨连续性肾脏替代治疗(CRRT)在急性左心衰并肾功能不全患者的疗效。方法以我院2010年5月至2013年1月间收治的60例急性左心衰伴肾功能不全患者为研究对象,按入院时间分为观察组(28例)与对照组(32例),所有患者均行基础内科治疗,对照组患者使用间断性透析方案,观察组患者使用CRRT,比较两组患者血氧携带能力、体内电解质水平和肾功能指标间的差异。结果观察组患者血氧携带能力高于对照组,电解质水平较对照组更优,肾脏负担更轻,其差异皆有统计学意义(P<0.05)。结论 CRRT可以在急性左心衰并肾功能不全的治疗中起到积极作用,其可提高患者血氧携带能力、快速纠正患者体内电解质紊乱,并减轻患者肾脏负担。Objective To investigate the effect of continuous renal replacement therapy （CRRT） for left heart failure and renal insufficiency. Methods Sixty patients with left heart failure and renal insufficiency were divided into the observation group （n = 28） and control group （n = 32） based on their admission time. All cases received basal medical treatment. The control group received the conventional treatment plan, while the observation group received CRRT. The differences of oxygen carrying capacity, body electrolyte levels and renal function were compared between two groups. Results The blood oxygen carrying capacity level of observation group was higher than that of control group; The electrolyte level and kidney fimction of observation group were better than that of control group （all P 〈0.05）. Conclusions It can get a satisfactory effect to use continuous renal replacement in the treatment of left heart failure and renal insufficiency, with higher blood oxygen carrying capacity level and better electrolytes and kidney function.

关 键 词：连续性肾脏替代治疗 左心衰 肾功能不全 

分 类 号：R459.5[医药卫生—治疗学]