比较连续性肾脏替代治疗(CRRT)与间歇性血液透析治疗(IHD)对重症急性肾功能衰竭的治疗效果

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英文篇名：Comparison of the Effects of Continuous Renal Replacement Therapy(CRRT) and Intermittent Hemodialysis(IHD) on Severe Acute Renal Failure 作者：丁园国 ; 庄辉 英文作者：DING Yuan-guo;ZHUANG Hui;Department of Critical Care, Fourth Division Hospital of Xinjiang Production and Construction Corps; 关键词：连续性肾脏替代治疗 ; 间歇性血液透析治疗 ; 重症急性肾功能衰竭 ; 治疗效果 英文关键词：Continuous renal replacement therapy;;Intermittent hemodialysis treatment;;Severe acute renal failure;;Therapeutic effect 中文刊名：XTYX 英文刊名：Systems Medicine 机构：新疆生产建设兵团第四师医院重症科; 出版日期：2019-03-20 出版单位：系统医学 年：2019 期：v.4;No.66 语种：中文; 页：XTYX201906020 页数：3 CN：06 ISSN：10-1369/R 分类号：48-50

摘要

目的研究探讨连续性肾脏替代治疗(CRRT)与间歇性血液透析治疗(IHD)对重症急性肾功能衰竭的治疗效果。方法该实验于2017年1月—2018年6月在该院进行,以此时段内收治的80例重症急性肾功能衰竭患者为研究对象,随机均分两组各40例,以间歇性血液透析治疗为对照组,以连续性肾脏替代治疗为观察组,分析连续性肾脏替代治疗的价值所在,并对比治疗后的效果。结果观察组的有效率为92.5%,对照组为80.0%,差异有统计学意义(χ~2=9.125,P=0.024);治疗后观察组的APCHEII评分为(14.89±2.12)分,对照组的APCHEII评分为(18.15±4.31)分,差异有统计学意义(t=2.101,P=0.017)。结论对于重症急性肾功能衰竭的患者,采取连续性肾脏替代治疗,效果显著,可以增强疗效,提高患者的生存率,延长生存时间,改善生活质量,值得在今后患者的治疗过程中应用。
        Objective To investigate the therapeutic effect of continuous renal replacement therapy(CRRT) and intermittent hemodialysis(IHD) on severe acute renal failure. Methods This study was conducted in our hospital from January 2017 to June 2018. 80 patients with severe acute renal failure admitted to this study were randomly divided into two groups, 40 patients with intermittent blood dialysis treatment was the control group, and continuous renal replacement therapy was used as the observation group to analyze the value of continuous renal replacement therapy and compare the effects after treatment. Results The effective rate was 92.5% in the observation group and 80.0% in the control group. The difference was statistically significant(χ~2=9.125, P=0.024). The APCHEII score of the observation group was(14.89±2.12)points after treatment. The APCHEII score was(18.15±4.31)points, and the difference was statistically significant(t=2.101, P=0.017). Conclusion For patients with severe acute renal failure, continuous renal replacement therapy is effective, which can enhance the curative effect, improve the survival rate of patients, prolong the survival time and improve the quality of life. It is worthy of application in the future treatment of patients.

引文

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