连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾功能衰竭效果研究.docVIP

连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾功能衰竭效果研究 　　[摘要]目的 分析连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾功能衰竭的临床效果。方法 选取我院2014年5月～2016年3月收治的46例重症急性肾功能衰竭患者，按照治疗方法的不同分为观察组和对照组，各23例。对照组采用间歇性血液透析治疗方法，观察组采用连续性肾脏替代治疗，比较两组的临床疗效。结果 观察组的总有效率为91.30%，高于对照组的73.91%，差异有计学意义（P0.05）。观察组治疗后的BUN、SCr水平低于对照组治疗后，CCr水平高于对照组治疗后，差异有统计学意义（P0.05）。观察组的1年生存率为82.61%，高于对照组的60.87%，差异有统计学意义（P0.05）。结论 连续性肾脏替代治疗重症急性肾功能衰竭的效果确切，能够改善患者的临床症状，提高生存率，值得临床推广应用。 　　[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；临床疗效 　　[中图分类号] R692.5 [文献标识码] A [文章编号] 1674-4721（2017）05（a）-0060-03 　　[Abstract]Objective To analyze the clinical efficacy of continuous renal replacement therapy and intermittent hemodialysis in the treatment of severe acute renal failure.Methods 46 patients with severe acute renal failure from May 2014 to March 2016 in our hospital were selected and divided into the observation group and the control group according to the difference of treatment methods，23 cases in each group.The control group was given selective intermittent hemodialysis in the clinical treatment，and the observation group was given continuous renal replacement therapy in the clinical treatment.The clinical efficacy was compared between the two groups after treatment.Results The total effective rate after treatment in the observation group was 91.30%，which was hifher than that in the control group （73.91%），with significant difference （P0.05）.The levels of BUN and SCr after treatment in the observation group was lower than that in the control group，and the level of CCr after treatment in the observation group was higher than that in the control group，with significant difference （P0.05）.The survival rate of 1 year in the observation group was 82.61%，which was higher than that in the control group （60.87%），with significant difference （P0.05）.Conclusion The effect of continuous renal replacement therapy in the treatment of patients with severe acute renal failure is significant，which can improve the clinical symptoms and improve the survival rate of patients，it is worthy of clinic