腹水回输治疗顽固性腹水疗效  

Reinfusion of ascites curative effect in the treatment ofintractable ascites

作　　者：华小莉 

机构地区：[1]淮安市第四人民医院肝病科,江苏淮安223001

出　　处：《中国卫生产业》2014年第24期5-6,共2页China Health Industry

摘　　要：目的探讨腹水回输治疗顽固性腹水的治疗效果。方法随将确诊的30例顽固性腹水患者,随机分成两组,对照组与观察组各15例。观察组患者采用瑞典金宝AK95s型血液透析机以及配套血液管路,并按照无菌操作规范进行腹水回输治疗。对照组患者给予常规治疗。对两组患者的出现的呼吸困难、腹痛、腹围、血浆白蛋白、体重等方面加以比较。结果接受相关治疗后,所有患者的呼吸困难、腹痛、腹围、血浆白蛋白、体重等方面均有明显改善。对照组总有效率为40.0%低于观察组总有效率为80.0%,治疗有效率方面组间差异明显(P<0.05),具统计学意义。结论腹水回输治疗方法较具有安全性好、见效快、并发症少、患者痛苦小等优点,值得临床应用推广。Objective To explore the treatment of intractable ascites by reinfusion of ascitestreatment effect. Methods With 30 cases of intractable ascites were diagnosed,were randomly divided into two groups, the control group and the observation group each 15 cases. The observation group were treated by Gambro AK95 s hemodialysis machine and matching blood lines, and in accordance with theaseptic operation specification for ascites reinfusion treatment. The control group were given routine treatment.Comparing the two groups of patients withdyspnea, abdominal pain, abdominal circumference, serum albumin, body weight. Results Related to accept after treatment, all patients had difficulty breathing, abdominal pain, abdominal circumference, body weight, plasma albumin, improve. The control group total effectiveness is 40% lower than the observation group, the total effective rate was 80%, the treatment efficiencydifferences between groups were significantly（p 0.05）, statistically significant. Conclusion Ascites reinfusion treatment method has theadvantages of safety, quick effect, fewer complications,less pain for patients,it is worthy of clinical application.

关 键 词：腹水回输 顽固性腹水 治疗效果 

分 类 号：R4[医药卫生—临床医学]