连续性肾脏替代疗法治疗急性心肾综合征的疗效浅谈.docVIP

精品论文 参考文献 连续性肾脏替代疗法治疗急性心肾综合征的疗效浅谈 张席军 强建红 　　（陕西省延安市人民医院 陕西 延安 716000） 　　【摘 要】目的：分析探讨对于急性心肾综合征患者采取连续性肾脏替代疗法的临床效果。方法：选择我院2014年2月-2015年1月之间收治的48例患者作为观察对象，采用随机的方式将其分为观察组和对照组各24例。对照组患者采取常规的抗心力衰竭和抗肾功能衰竭治疗；观察组患者在此基础上需要连续性替代疗法进行干预。对两组患者的临床效果以及心功能分级、肾小球率过滤等指标进行统计。结果：观察组患者通过连续性肾脏替代疗法治疗之后的心功能分级显著低于对照组患者、肾小球滤过率对照组，差异具有统计学意义（P＜0.05）；观察组患者的病死率低于对照组，差异同样具有统计学意义（P＜0.05）。结论：对急性心肾综合征患者在常规治疗基础上应用连续性肾脏替代疗法可以显著改善患者的病情、促进机体循环、减少患者的病死率，具有很高的临床应用价值。 　　【关键词】连续性肾脏替代疗法；心肾综合征；临床疗效 　　【中图分类号】R586.2+2 【文献标识码】B 【文章编号】1003-5028（2015）8-0551-01 　　Effect of continuous renal replacement therapy on acute cardiac renal syndrome 　　Yanan Peoples Hospital of Shaanxi province Zhang Xijun Qiang Jianhong zip code 716000 　　【Abstract】Objective: To investigate the clinical effect of continuous renal replacement therapy for patients with acute cardiac renal syndrome.. Methods: from February 2014 to January -2015 in our hospital between the 48 patients as the observation object, using a random way to be divided into observation group and control group of 24 cases. The control group was treated with routine anti - heart failure and anti - renal failure, and the observation group was treated with continuous replacement therapy.. The clinical effect of two groups of patients and the classification of cardiac function, glomerular filtration and other indicators of statistical. Results: the observation group of patients treated by continuous renal replacement therapy in the treatment of cardiac functional grading was significantly lower than that of control group, glomerular filtration rate of the control group, the difference is statistically significant (P lt; 0.05); observation group patients, mortality rate was lower than the control group, the difference is also statistically significant (P lt; 0.05). Conclusion: the acute cardio renal comprehensive syndrome patients in the conventional treatment based on the application of continuous renal replacement therapy can significantly improve the patients cond