心血管外科术后急性肾功能衰竭的处理分析  

Treatment and analysis of acute renal failure after cardiovascular surgical operation

作　　者：林彬[1] 冯德广[1] 王锋[1] 

机构地区：[1]河南省人民医院心血管外科,河南郑州450003

出　　处：《中国医药科学》2015年第18期116-118,共3页China Medicine And Pharmacy

摘　　要：目的探讨心血管外科术后急性肾功能衰竭（ARF）患者的处理方法与效果。方法随机抽取我院2011年1月~2015年3月接诊的心血管外科术后ARF患者41例作为研究对象,回顾性分析他们的临床资料,均采取连续性肾脏替代疗法（CRRT）治疗,总结临床效果。结果所有患者均顺利完成治疗,存活率为92.68%,均无严重并发症发生;治疗后尿素氮、肌酐、钾离子、氯离子、总胆红素均有明显改善,相较于治疗前差异均有统计学意义（P〈0.05）,但钠离子对比无显著性差异（P〉0.05）;此外,本组患者治疗后SF-36评分要显著高于治疗前,对比差异有统计学意义（P〈0.05）。结论心血管外科术后急性肾功能衰竭比较常见,应加强重视,而实施CRRT治疗可取得不错的效果,明显改善肾功能指标与生活质量,值得借鉴。Objective To study the treatment methods and effects of acute renal failure（ARF） after cardiovascular surgical operation. Methods 41 patients with ARF after cardiovascular surgical operation, who were treated in our hospital from January 2011 to March 2015, were randomly selected as the research objects. To retrospectively analyze the clinical data which were treated with continuous renal replacement therapy（CRRT）, to summarize the clinical effect. Results All of the patients were favorably completed the treatment, with the survival rate of 92.68%, without serious complication occurrence. Urea nitrogen, creatinine, potassium ion, chloride ion, total bilirubin after treatment were obviously improved than which before treatment, the differences was statically significant（P〈0.05）, while the improvement of sodium ion was no significant difference（P〉0.05）, furthermore, the SF-36 score after treatment was significantly higher than which before treatment, the differences was statically significant（P〈0.05）. Conclusion CRRT in the treatment of ARF after cardiovascular surgical operation which is more common and should be attached more attention, could obtain good effect, could obvious improve the indexes of renal function and the quality of life, is worthy of reference.

关 键 词：心血管 外科手术 急性肾功能衰竭 连续性肾脏替代 处理 

分 类 号：R654.2[医药卫生—外科学]