过连续性血液净化治疗重症心力衰竭并肾衰竭的效果分析  

Analyzing the effect of continuous blood purification in treating severe heart failure with renal failure

作　　者：陈家林[1] 李文静[1] 卢章[1] 

机构地区：[1]深圳市第二人民医院心血管内科,广东深圳518034

出　　处：《华夏医学》2016年第1期33-35,共3页Acta Medicinae Sinica

摘　　要：目的:分析过连续性血液净化治疗重症心力衰竭并肾衰竭的可行性及生化指标。方法:将130例重症心力衰竭并肾衰竭患者随机分为观察组和对照组,观察组患者采用过连续性血液净化治疗,对照组患者采用常规的血液透析进行治疗。比较两组患者的生化指标、血气变化和临床疗效。结果:研究组患者的血尿素氮、血肌酐、碳酸氢根(HCO_3^-)、酸碱度(pH)、血氧饱和度(SaO_2)、肺泡氧分压(PaO_2)指标明显优于对照组,差异具有统计学意义(P<0.05);观察组治疗总有效率为90.8%高于对照组53.8%,差异有统计学意义(P<0.05)。结论:过连续性血液净化治疗重症心力衰竭并肾衰竭的临床疗效良好。Objective：To study the viability and biochemical indexes of continuous blood purification therapy in the treatment of severe heart failure with renal failure.Methods：130 cases of severe heart failure and renal failure were randomized into observation group and control group.The observation group was treated with continuous blood purification.The control group was treated with conventional hemodialysis.Then the clinical efficacy and the changes of biochemical indexes and gas blood was observed and compared between the two groups.Results：Indexes of blood urea nitrogen,blood creatinine,bicarbonate（HCO_3-）,p H,oxygen saturation（SaO_2）,and alveolar oxygen partial pressure（PaO_2） were better in the observation group than in the control group（P〈0.05）.The observation group had higher total effective rate than the control group（90.8 % vs 53.8 %,P〈0.05）.Conclusion：The clinical effect of continuous blood purification is a good therapy for severe heart failure with renal failure.

关 键 词：过连续性血液净化 重症心力衰竭 肾衰竭 

分 类 号：R692.5[医药卫生—泌尿科学]