持续性肾脏替代治疗在脓毒血症治疗中的疗效观察  

Continuous renal replacement therapy was observed in the treatment of sepsis

作　　者：冷凌涵[1] 

机构地区：[1]成都市第五人民医院重症医学科,四川成都611130

出　　处：《影像研究与医学应用》2017年第2期200-201,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:观察脓毒血症经持续性肾脏替代治疗的临床效果。方法:选取76例我院于2014年1月—2017年1月收治的脓毒血症患者进行研究,并随机分为两组,每组38例;对照组采用集束化治疗,观察组则在此基础上采用持续性肾脏替代治疗,比较两组患者的临床治疗效果以及治疗前后的血流动力学指标和APACHEⅡ评分变化。结果:①,观察组的死亡率低于对照组,且住院时间短于对照组,组间差异显著(P<0.05)。②治疗后,两组患者的血流动力学指标和APACHEⅡ评分与治疗前均存在显著差异(P<0.05),且观察组各项指标均优于对照组,组间差异均有意义(P<0.05)。结论:持续性肾脏替代治疗脓毒血症可以有效促进转归,改善预后,促进血流动力学的恢复,是一种安全、有效的治疗方法,具有较高的临床应用价值。Objective： To observe the clinical effect of sepsis in the treatment of persistent renal replacement. Methods： The study of patients with sepsis from January 2014 to January 2017 were randomly divided into two groups of 38 patients. Control group using cluster treatment, observation group is used on the basis of continuous renal replacement therapy, compared two groups of patients before and after treatment and clinical treatme-nt effect of hemodynamic indices and APACHE II score changes. Results： The mortality rate of the observed group was lower than the control group, and the hospital time was shorter than the control group, and the difference was significant （P 〈 0.05）. （2） after treatment, two groups of patients with hemodynamic indexes and APACHE II score and there were significant difference before treatment （P 〈 0.05）, and the observation group, all the indicators is better than that of control group, the differences between groups were significant （P 〈 0.05）. Conclusion： Continuous renal replacement therapy can effectively promote the outcome sepsis, improve the prognosis, promote the recovery of hemodynamics, is a safe and effective treatment method, has high clinical value.

关 键 词：持续性肾脏替代治疗 脓毒血症 治疗效果 

分 类 号：R459.7[医药卫生—急诊医学]