连续性肾脏替代与间歇性血液透析治疗重症急性肾衰的比较分析  

Comparative analysis of continuous renal replacement therapy and intermittent hemodialysis in the treatment of severe acute renal failure

作　　者：张红群[1] 张侠[1] Zhang Hongqun;Zhang Xia(The People s Hospital of Yongcheng City,Henan Province 476600)

机构地区：[1]河南省永城市人民医院,476600

出　　处：《中国社区医师》2016年第20期59-59,62,共2页Chinese Community Doctors

摘　　要：目的:探讨连续性肾脏替代与间歇性血液透析治疗重症急性肾衰的疗效差异。方法:收治重症急性肾衰的患者50例,随机平分成连续性肾脏替代(CRRT)治疗组和间歇性血液透析(IHD)组,比较两组疗效。结果:治疗1年后CRRT组BUN、Scr明显降低,Ccr明显升高,与IHD组比较,差异有统计学意义(P<0.05),CRRT组存活率高于IHD组,两组比较,差异有统计学意义(P<0.05)。结论:连续性肾脏替代治疗效果优于间歇性血液透析的治疗效果,是治疗重症急性肾衰的重要方法。Objective:To investigate the effect of continuous renal replacement therapy and intermittent hemodialysis in the treatment of severe acute renal failure.Methods:50 patients with severe acute renal failure were selected.They were randomly divided into the continuous renal replacement therapy(CRRT)treatment group and the intermittent hemodialysis(IHD)group.The efficacy of the two groups was compared.Results:After 1 year of continuous treatment,the Scr,BUN significantly decreased,Ccr was significantly increased in the CRRT group,and the difference was statistically significant compared with the IHD group(P<0.05).The survival rate of the CRRT group was higher than that of the IHD group,and the difference between groups was statistically significant(P<0.05).Conclusion:The effect of continuous renal replacement therapy is better than that of intermittent hemodialysis.It is an important method for the treatment of severe acute renal failure.

关 键 词：连续性肾脏替代治疗 间歇性血液透析治疗 重症急性肾衰 

分 类 号：R692.5[医药卫生—泌尿科学]