CRRT技术辅助治疗ICU高龄急性肾损伤患者疗效观察  

Effects of CRRT technology on II APACHE score and blood biochemical indexes in elderly patients with acute kidney injury in ICU

作　　者：刘道勤[1] 武其文[1] 

机构地区：[1]皖南医学院第一附属医院肾脏内科,安徽241001

出　　处：《安徽卫生职业技术学院学报》2016年第2期16-17,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨CRRT技术辅助对ICU高龄急性肾损伤患者APACHE II评分及血液生化指标的影响。方法:研究对象选取ICU高龄急性肾损伤患者共110例,以随机区组法分为对照组(55例)和试验组(55例),分别给予常规内科对症干预和在此基础上加用CRRT技术辅助治疗;比较两组治疗前后APACHE II评分、血液生化指标水平及ICU存活率等。结果:试验组患者治疗后APACHE II评分均显著低于对照组、治疗前,差异有统计学意义(P<0.05);试验组患者血液生化指标水平显著低于对照组,差异有统计学意义(P<0.05);试验组患者ICU存活率显著高于对照组,差异有统计学意义(P<0.05)。结论:CRRT技术辅助治疗ICU高龄急性肾损伤可有效改善临床症状体征,调节机体内环境紊乱,并有助于降低死亡风险。Objective：To investigate the effect of CRRT technology on II APACHE score and blood biochemical indexes in elderly patients with acute kidney injury in ICU.Methods：110 elderly patients with acute kidney injury in ICU were chosen in the period from March 2012 to August 2015 in our hospital and randomly divided into two groups including control group （55 patients） with routine symptomatic intervention of internal medicine department and treatment group （55 patients） with CRRT technology on the basis of control group; and the APACHE II score before and after treatment, blood biochemical index and ICU survival rate of both groups were compared.Results：The APACHE II score after treatment of treatment group was significant better than control group and before treatment （ P〈0.05 ） . （ P〈0.05 ）. The levels of blood biochemical index of treatment group was significant better than control group There was no significant difference in the ICU survival rate between 2 groups （ P〉0.05 ） .Conclusion ：CRRT technology in the treatment of elderly patients with acute kidney injury in ICU can efficiently improve the clinical symptoms and signs,adjust the body environment and be helpful to reduce the risk of mortality.

关 键 词：CRRT ICU 急性肾损伤APACHE II评分 生化指标 

分 类 号：R459.7[医药卫生—急诊医学]