连续性血液透析在急性肾衰救治中的应用价值  

Effect of Continuous Hemodialysis on the Acute Renal Failure

作　　者：甘晓文[1] 严春寅[1] 陈卫国[1] 浦金贤[1] 

机构地区：[1]苏州大学附属第一医院泌尿外科血透中心,江苏苏州215006

出　　处：《江苏大学学报（医学版）》2002年第2期140-141,共2页Journal of Jiangsu University：Medicine Edition

摘　　要：目的 :评价连续性血透治疗急性肾功能衰竭 (ARF)的疗效。方法 :对比分析连续性血液透析 (CHD)组 6 3例与间歇性血液透析(IHD)组 38例的临床资料及疗效。结果 :CHD组 6 3例 ,存活 5 4例 ( 85 .7% ) ,死亡 9例 ( 14 .3% ) ;IHD组 38例 ,存活 2 6例 ( 6 8.4% ) ,死亡 12例 ( 31.6 % ) ,两组有差别 (P <0 .0 5 ) ,CHD组血流动力学稳定 ,氮质血症控制更佳 ,APF持续时间较充盈。结论 :CHD治疗ARF的疗效优于IHD ,提高血透质量和存活率。Objective:To investigate the effect of continuous hemodialysis(CHD) on the acute renal failure(ARF). Methods:To study the clinical materials from 63 patients receiving CHD and 38 patients treated with intermittent hemodialysis(IHD), and then evaluate their effects respectively.Results:Of 63 patients in the CHD group, 54(85.7%) survived and 9(14.3%) died. Of 38 patients in the IHD group, 26(68.4%) survived and 12(31.6%) died. There was a significant distinction between both groups ( P <0.05). Compared with HID, in hemodynamics is more stable, azotemia can be controlled more easily, and the period of ARF is shorter.Conclusions:CHD might be better than HID in the quality of hemodialysis and survival rate.

关 键 词：连续性血液透析 间歇性血液透析 急性肾衰 

分 类 号：R692.5[医药卫生—泌尿科学]