连续性肾脏替代治疗法治疗重症肺炎的临床疗效  

Efficacy of Continuous Renal Replacement Therapy on Patients With Severe Pneumonia

作　　者：荀康[1] 夏春英[1] 吉木森[1] 刘竞[1] 虞志新[1] 金兆辰[1] 

机构地区：[1]江苏大学附属人民医院肾内科,江苏镇江212002

出　　处：《中国卫生标准管理》2016年第19期45-47,共3页China Health Standard Management

摘　　要：目的观察连续性肾脏替代治疗在治疗重症肺炎患者时的疗效。方法纳入80例重症肺炎患者,随机均分为试验组(n=40)和对照组(n=40),对照组使用常规抗生素治疗,试验组行常规抗生素联合CRRT治疗。记录两组患者治疗前后APACHEⅡ评分,住院时间和病死率。结果试验组治疗后APACHEⅡ评分低于治疗前(P<0.05),对照组患者治疗前后APACHEⅡ评分差异不具有统计学意义(P>0.05)。结论CRRT可有效改善重症肺炎。Objective To investigate the efficacy of CRRT. Methods A total of 80 patients with severe pneumonia were enrolled,randomly divided into two groups,40 each,control group with antibiotic,whereas experiment group with CRRT. APACHE II scores before and after treatment,hospitalization,and mortality were recorded. Results There was significant difference in APACHE II scores before and after treament in expriment group（P〈 0.05）,whereas not in control group（P 〈0.05）. Conclusion CRRT is effective in removing proinflammatory cytokines.

关 键 词：连续性肾脏替代治疗 重症肺炎 炎性因子 

分 类 号：R563[医药卫生—呼吸系统]