连续性血液净化用于治疗难治性心力衰竭的效果  

The effect of continuous blood purification on the treatment of refractory heart failure

作　　者：陈国锋[1] 张金明[1] 陈乃颖 袁权富 邓金兰 CHEN Guofeng;ZHANG Jinming;CHEN Naiying;YUAN Quanfu;DENG Jinan(Department of Critical Care Medicine,Section One,Gaozhou People's Hospital,Gaozhou,Guangdong,525200 China)

机构地区：[1]广东省高州市人民医院重症医学科一区,广东高州525200

出　　处：《中外医疗》2023年第7期108-112,共5页China & Foreign Medical Treatment

摘　　要：目的 探析连续性血液净化用于治疗难治性心力衰竭的效果。方法 简单随机选取2018年1月—2021年7月广东省高州市人民医院收治的60例难治性心力衰竭患者作为研究对象,通过电脑随机分为常规组与治疗组,各30例。常规组采取常规治疗,治疗组在常规对症治疗基础上接受持续性血液净化治疗。对比两组患者治疗效果、生命体征情况、并发症发生情况。结果 治疗后,治疗组R、HR、MAP均低于常规组,SaO_(2)、UV均高于常规组,差异有统计学意义(t=4.302,3.265,2.980,4.233,10.590,P<0.05);治疗组患者总有效率96.6%高于常规组的70.0%,差异有统计学意义(χ^(2)=7.680,P<0.05);治疗组患者发生心源性休克1例,呼吸衰竭1例,总发生率为2例(6.66%)均低于常规组的心源性休克3例,肺部感染4例,呼吸衰竭2例,总发生率为9例(30.00%),差异有统计学意义(t=5.455,P<0.05)。结论 针对难治性心力衰竭,以连续性血液净化治疗,可达到提高症状改善效果和治疗有效率的作用。Objective Exploring the therapeutic effect of continuous blood purification in the treatment of refractory heart failure.Methods 60 patients with refractory heart failure admitted to the People's Hospital of Gaozhou City,Guangdong Province from January 2018 to July 2021 were selected simply randomly as the study subjects.They were randomly divided into a conventional group and a treatment group by computer,with 30 patients in each group.The routine group received routine treatment,while the treatment group received continuous blood purification treatment on the basis of routine symptomatic treatment.Compare the treatment efficacy,vital signs and the occurrence of complications before and after treatment of two groups of patients.Results After treatment,the R,HR,and MAP of the treatment group were lower than those of the conventional group,while the SaO_(2) and UV were higher than those of the conventional group,the differences was statistically significant(t=4.302,3.265,2.980,4.233,10.590,P<0.05);the total effective rate of 96.6%in the treatment group was higher than 70.0%in the conventional group,the difference was statistically significant(χ^(2)=7.680,P<0.05);The treatment group had 1 case of cardiogenic shock and 1 case of respiratory failure,with a total incidence rate of 2 cases(6.66%),which was lower than the conventional group with 3 cases of cardiogenic shock,4 cases of pulmonary infection,and 2 cases of respiratory failure,with a total incidence rate of 9 cases(30.00%),the difference was statistically significant(t=5.455,P<0.05).Conclusion For refractory heart failure,continuous blood purification treatment can achieve the effect of improving symptoms and improving the treatment efficiency of patients.

关 键 词：血液净化 治疗 难治性心力衰竭 治疗疗效 

分 类 号：R4[医药卫生—临床医学]