糖尿病酮症酸中毒并发急性肾功能衰竭20例临床剖析.docVIP

糖尿病酮症酸中毒并发急性肾功能衰竭20例临床剖析 　　[摘要] 目的 对糖尿病酮症酸中毒并发急性肾功能衰竭的临床治疗效果予以探究。 方法 随机选取该院自2013年2月―2014年2月期间收治的糖尿病酮症酸中毒并发急性肾功能衰竭患者20例，按照患者挂号的先后顺序，将其随机均分成两组，观察组中10例患者，对照组中10例患者，其中对照组患者采用普通血液透析进行治疗，观察组患者采用连续性血液净化治疗，观察并分析两组患者的临床疗效。 结果 观察组患者二氧化碳结合力、肌酐、渗透压、尿素氮水平及空腹血糖显著优于对照组，观察组患者的治疗总有效率为90.0%显著高于对照组患者的60.0%，组间差异具有统计学意义，P0.05，且组间之间的差异具有统计学研究意义。 结论 对糖尿病肾病酮症酸中毒合并急性肾功能衰竭患者采用连续性血液净化治疗，不仅能够有效清除患者机体内小分子毒素，而且还能够纠正电解质及酸碱代谢紊乱，获得了显著的治疗效果，对于提高患者的生存质量和预后质量具有十分重要的意义，值得大力推广和应用。 　　[关键词] 糖尿病；酮症酸中毒；急性肾功能衰竭；疗效 　　[中图分类号] R4 [文献标识码] A [文章编号] 1672-4062（2016）02（a）-0121-03 　　Diabetic ketoacidosis complicated with acute renal failure of 20 cases of clinical analysis 　　GUO Jie 　　The outpatient department of jilin provincial party committee party school Changchun， jilin 130021，China 　　[Abstract] Objective Analysis of clinical therapeutic effect on diabetic ketoacidosis complicated with acute renal failure. Methods in our hospital were randomly selected 20 cases of diabetic ketoacidosis complicated with acute renal failure patients， were randomly assigned to two groups， observation group （10 cases）， control group （10 cases），The control group were treated with conventional hemodialysis， the observation group were treated with continuous blood purification. Results Carbon dioxide binding force， creatinine， osmotic pressure， urea nitrogen level and fasting blood glucose in the observation group were significantly better than those in the control group， the total effective rate of the observation group was significantly higher than that in the control group 60%， and the difference between the groups was statistically significant. Conclusion On diabetic nephropathy in type 2 diabetes mellitus ketoacidosis combined with acute renal failure patients using continuous blood purification treatment， not only can effectively remove in the body of patients with small molecule toxin， but also be able to correct electrolyte and acid-base metabolism disorder， treatment effect is very significant， for patients survival qu