连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾功能衰竭的效果分析  

The Effect of Continuous Renal Replacement Therapy and Intermittent Hemodialysis on Severe Acute Renal Failure

作　　者：李洁 安光伟[1] LI Jie;AN Guangwei(Baoding No.2 Central Hospital,Baoding,Hebei 072750)

机构地区：[1]保定市第二中心医院,河北保定072750

出　　处：《科技与健康》2022年第3期59-61,共3页Technology and Health

摘　　要：为分析对重症急性肾功能衰竭应用连续性肾脏替代治疗与间歇性血液透析治疗效果,选取2021年1月—2022年1月在保定市第二中心医院收治的90例重症急性肾功能衰竭患者为研究对象,通过数字表法将患者分成对照组和研究组,对照组选择间歇性血液透析治疗,研究组选择连续性肾脏替代治疗,观察对比两组疗效。肾功能影响疗效对比:还未开始治疗前测量两组患者尿素氮(BUN)、内生肌酐(Ccr)、血清肌酐(SCr)数据无较大差异,P>0.05;治疗后研究组BUN、SCr指标低于对照组,Ccr指标高于对照组,P<0.05。血流动力学参数对比,治疗前患者心率(HR)、心脏指数(CI)、平均动脉压(MAP)指标未表现出较大差异,P>0.05;治疗后研究组HR、CI、MAP指标均优于对照组,P<0.05。治疗后研究组临床疗效与预后效果均高于对照组,P<0.05。研究发现针对重症急性肾功能衰竭患者选择连续性肾脏替代治疗所取得疗效表现更好,可改善肾功能,稳定血流动力学指标,预后效果较高。In order to analyze the effect of continuous renal replacement therapy and intermittent hemodialysis on severe acute renal failure,90 patients with severe acute renal failure who were admitted to Baoding Second Central Hospital from January 2021 to January 2022 were selected as the research objects.The patients were divided into control group and research group by numerical table method.The control group chose intermittent hemodialysis treatment,and the research group chose continuous renal replacement therapy,observe and compare the curative effect of the two groups.Comparison of therapeutic effects on renal function:before treatment,there was no significant difference between the two groups in measuring the data of urea nitrogen(BUN),endogenous creatinine(Ccr)and serum creatinine(SCR),P>0.05;After treatment,BUN and SCR indexes in the study group were lower than those in the control group,and Ccr indexes were higher than those in the control group(P<0.05).Compared with hemodynamic parameters,there was no significant difference in heart rate(HR),heart index(CI)and mean arterial pressure(MAP)before treatment(P>0.05);After treatment,HR,CI and MAP in the study group were better than those in the control group(P<0.05).After treatment,the clinical effcacy and prognosis of the study group were higher than those of the control group(P<0.05).The study found that continuous renal replacement therapy for patients with severe acute renal failure achieved better results,improved renal function,stabilized hemodynamic indicators,and had a higher prognosis.

关 键 词：连续性肾脏替代 间歇性血液透析 急性肾功能衰竭 临床疗效 

分 类 号：R692.5[医药卫生—泌尿科学]