连续性血液透析和间歇性血液透析治疗急性肾衰竭56例临床疗效对比.docVIP

连续性血液透析和间歇性血液透析治疗急性肾衰竭56例临床疗效对比 　　[摘要] 目的 分析比较连续性血液透析和间歇性血液透析治疗急性肾衰竭的临床疗效。方法 整群选取于2011年1月―2014年1月来院治疗的急性肾衰竭患者56例作为研究对象，按治疗方法的不同，分为对照组（n=28例）和观察组（n=28例），对照组行间歇性血液透析治疗，观察组行连续性血液透析治疗，观察对比两组治疗效果。结果 观察组治疗后的Scr、BUN水平优于对照组，差异有统计学意义（P0.05）；观察组低血压发生次数、心律失常发生次数分别为（1.65±0.45）次、（1.21±0.35）次，低于对照组的（3.89±1.32）次、（3.67±1.63）次，差异有统计学意义（P0.05）。结论 急性肾衰竭应用连续性血液透析治疗的临床效果显著，可改善Scr、BUN水平，减少并发症的发生，值得使用。 　　[关键词] 急性肾衰竭；连续性血液透析；间歇性血液透析 　　[中图分类号] R692.5 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0020-03 　　Clinical Effect Comparison Between Continuous Hemodialysis and Intermittent Hemodialysis in the Treatment of 56 Cases with Acute Renal Failure 　　FAN Wei， CUI Ying， LI Xu-dong， XU Xiang-jun， CHU Hong 　　Department of Nephrology， Yixing People’s Hospital， Yixing， Jiangsu Province， 214200 China 　　[Abstract] Objective To analyze and compare the clinical effects between continuous hemodialysis and intermittent hemodialysis in the treatment of acute renal failure. Methods 56 cases with acute renal failure treated in our hospital from January 2011 to January 2014 were selected as the subjects and divided into the control group （n=28） and the observation group （n=28） in accordance with the treatment method. The control group were treated by intermittent hemodialysis， and the observation group were treated by continuous hemodialysis. And the treatment effects of the two groups were observed and compared. Results After treatment， the Scr and BUN levels were better in the observation group than those in the control group （P0.05）. The frequency of hypotension was less in the observation group than that in the control group [（1.65±0.45） times vs （3.89±1.32） times] （P0.05）. The frequency of arrhythmia in the observation group was less in the observation group than that in the control group [（1.21±0.35） times vs （3.67±1.63） times] （P0.05）. Conclusion For acute renal failure， continuous hemodialysis can significantly improve the Scr and BUN levels and reduce the incidence of complications， which is worth u