连续性血液滤过治疗急性心力衰竭合并乳酸酸中毒的效果  

Effect on continuous blood filtration therapy in the treatment of acute heart failure with lactic acidosis

作　　者：吴超瑜 刘欣[1] 胡滢[1] 欧阳松茂[1] 朱宏泉[1] WU Chao-yu LIU Xin HU Ying OUYANG Song-mao ZHU Hong-quan(Pediatric Intensive Care One Area,the First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院重症医学科一区,江西赣州341000

出　　处：《中国当代医药》2017年第2期29-31,共3页China Modern Medicine

摘　　要：目的探讨连续性血液滤过治疗急性心力衰竭合并乳酸酸中毒的效果。方法选取我院2014年5月~2016年5月收治的急性心力衰竭合并乳酸酸中毒患者40例,随机将其分为连续性血液滤过治疗组(实验组)和普通血液透析治疗组(对照组),各20例,比较两组患者SBP、HR、RR、LVEF、24 h尿量、血乳酸、CO2CP、p H值及心力衰竭缓解时间、乳酸酸中毒纠正时间、住院时间。结果实验组患者SBP、HR、RR均显著低于对照组(P<0.05);LVEF、24 h尿量均显著高于对照组(P<0.05);血乳酸显著低于对照组(P<0.05);CO2CP、p H值均显著高于对照组(P<0.05);心力衰竭缓解时间、乳酸酸中毒纠正时间、住院时间均显著短于对照组(P<0.05)。结论连续性血液滤过治疗急性心力衰竭合并乳酸酸中毒的效果较普通血液透析治疗好。Objective To investigate the effect of continuous blood filtration in the treatment of acute heart failure with lactic acidosis.Methods 40 cases of pat!ents with acute heart failure with lactic acidosis in our hospital from May 2014 to May 2016 were selected,they were randomly divided into continuous hemofihration treatment group （experimental group） and hemodialysis treatment group （control group）,20 cases in each group.The SBP, HR,RR,LVEF 24 h,urine vol- umes,blood lactic acid,CO2CP,pH and heart failure remission time,lactic acidosis corrected time and hospitalization time of the two groups were compared.Results The SBP,HR,RR of the experimental group were significantly lower than those control group（P〈0.05）,the LVEF,24 h urine volume were significantly higher than those of control group（P〈0.05）,the blood lactate was significantly lower than that of control group （P〈0.05）, the CO2CP,pH were significantly higher than those of control group（P〈0.05）,the heart failure remission time,lactic acidosis the correct time,hospitalization time were significantly shorter than those of control group（P〈0.05）.Conclusion The effect of continuous blood filtration in the tr eatment of acute heart failure with lactic acidosis is better than conventional hemodialysis treatment.

关 键 词：连续性血液滤过 急性心力衰竭合并乳酸酸中毒 治疗效果 

分 类 号：R541.61[医药卫生—心血管疾病]