摘要
目的:探讨床旁连续性血液净化治疗急性肾功能衰竭的临床疗效。方法:收治急性肾功能衰竭患者120例,随机分成CRRT组和HD组,各60例,两组均在动静脉通道建立后选择肝素进行抗凝,HD组行常规血液透析治疗(HD),透析液选择碳酸氢盐,透析血液流量300 m L/min,透析液流量500 m L/min,4 h/次,治疗3周。CRRT组根据患者病情,每周进行1~2次床旁连续性血液净化治疗(CRRT)。结果:两组患者治疗3周后,尿素氮、血白蛋白、β2-微球蛋白组间比较差异有统计学意义(P<0.05),治疗3周各组治疗前后比较和组间比较差异均有统计学意义(P<0.05)。结论:床旁连续性血液净化治疗急性肾功能衰竭疗效显著。
Objective:To discuss the clinical effect of bedside continuous blood purification in treatment of acute renal failure.Methods:120 patients with acute renal failure were selected.They were randomly divided into the CRRT group and the HD group,60 cases in each.In the two group after the establishment of arteriovenous channel selecting heparin anticoagulant,the HD group routine hemodialysis(HD),bicarbonate dialysate, dialysis blood flow rate of 300 m L/min,the dialysate flow rate 500 m L/min,4hours treatment for 3 weeks.CRRT group according to the patient’s condition,weekly 1~2 times of bedside continuous blood purification therapy(CRRT).Results:After 3 weeks of treatment in two groups, there was statistically significant difference in blood urea nitrogen,serum albumin,β2-microglobulin group(P<0.05).3 weeks of treatment in each group before and after treatment,there was statistically significant(P<0.05).Conclusion:The clinical effect of bedside continuous blood purification in treatment of acute renal failure is outstanding.
出处
《中国社区医师》
2015年第24期11-12,共2页
Chinese Community Doctors
