摘要
目的对比分析急性肾损伤患者在透析治疗后与肾功能恢复的相关因素。方法选取许昌市中心医院收治的228例做透析治疗的急性肾损伤患者作为本次研究对象,统计患者患病因素及透析治疗后肾功能恢复情况。结果 228例患者中引起急性肾损伤原因为脓毒症休克(40.79%)明显高于大手术或严重创伤(14.91%)、心源性休克(13.60%)、低血容量休克27例(11.84%)、神经源性休克(10.97%)、药物因素(6.14%)及其他(1.75%),具有统计学意义(P<0.05);肾功能恢复与否与年龄、APACHEⅡ评分、器官衰竭个数、动脉CO2分压、血小板计数以及合并慢性肾脏病、严重基础疾病有关,差别具有统计学意义(P<0.05)。结论急性肾损伤患者可根据患病因素早期预防,及时治疗,有利于促进患者肾功能恢复,值得临床推广应用。
Objective To investigate the influencing factors of graft function after dialysis treatment in patients with acute kidney injury. Methods 228 cases with acute kidney injury in our Hospital were selected as study objects. The predisposing factors and graft function after dialysis treatment of patients were analyzed. Results Of 228 cases, the main reasons that caused acute kidney injury were sepsis shock （40.79%）, obviously larger than major surgery or severe trauma （14.91%）, cardiac shock （13.60%）, hypovolemic shock （27 cases, 11.84%）, neurogenic shock （10.97%）, drug factors （6.14%） and others （1.75%）, the difference was statistically significant （P〈0.05）, graft function was related with age, APACHE Ⅱ score, numbers of organ failure, arterial CO2 partial pressure, blood platelet count, chronic renal failure and severe basic diseases, the difference was statistically significant （P〈0.05）. Conclusion Acute kidney injury can be prevented and cured in time according to the predisposing factors, it can promote graft function of patients and is worthy of wide application.
出处
《罕少疾病杂志》
2017年第3期32-33,36,共3页
Journal of Rare and Uncommon Diseases
关键词
肾功能
急性肾损伤
影响因素
透析
Graft Function
Acute Kidney Injury
Influencing Factors
Dialysis
