探讨急性肾功能衰竭患者的临床治疗方法及临床疗效.docxVIP

探讨急性肾功能衰竭患者的临床治疗方法及临床疗效 北安市海星镇中心卫牛院164036 摘要：目的研究分析急性肾功能衰竭患者的临床治疗方法及临床效果观察。方 法此次研究的对象是选择我院收治的急性肾功能衰竭患者108例，将其临床资 料进行回顾性分析，并随机分成研究组与对照组，每组各54例，对照组血液透 析、抗感染、抗休克等常规综合治疗。研究组则在对照组的基础上加用血必净治 疗进行治疗，比较分析两组患者的临床治疗效果。结果研究组的治疗总有效率 为90.7%,对照组的治疗总有效率为70.4%,两组比较差异有统计学意义 (Pt;0.05)o研究组治疗后的少尿持续时间、尿蛋白转阴时间、Scr降至正常时 间、BUN降至正常时间均明显短于对照组(Plt;0.05)o结论 在血液透析、抗感 染、抗休克等常规综合治疗的基础上加用血必净治疗急性肾功能衰渴患者可以明 显改善患者的肾功能恢复情况，提高临床的治疗效果。 关键词：急性肾功能衰竭；血液透析；血必净；临床治疗 Abstract： Objective To study the clinical treatment of patients with acute renal failure and its clinical effect. Method the study object is the choice of 108 patients admitted to our hospital with acute renal failure patients, the clinical data were retrospectively analyzed and were randomly divided into study group and control group, each 54 cases in each group, control group of hemodialysis, anti infection, anti shock, routine treatment. Study group is on the basis of the control group and Xuebijing treatment, a comparative analysis of the clinical curative effect of the two groups of patients. Results the total effective rate was 90.7% in the study group and 70.4% in the control group, the difference was statistically significant( Plt;0.05)(). The study group after the treatment of oliguria sustained time, urine protein clearanee time, serum creatinine (SCR) dropped t on ormal time, bun decreased t on ormal time were significantly shorter than that of the control group (P lt; 0.05) . Conclusion in hemodialysis, anti infection, anti shock and other conventional treatment based on plus Xuebijing injection treatment in patients with acute renal failure (ARF) can obviously improve the recovery of renal function in patients, improve the clinical treatment effect. Key words： acute renal failure； hemodialysis； Xuebijing； clinical treatment 急性肾功能衰竭在临床上是一种比较常见的肾内科疾病，此病发病 比较急，同时病情既复杂又急剧恶多变［1］。急性肾功能衰竭患者如果早期能够 得到及时的诊断与治疗则患者肾功能还是有机会得到完全的恢复。 1资料与方法 1.1-般资料选择我院收治的急性肾功能衰竭患者108例，其中，男 60例，女48例；年龄21?78岁，平均年龄为(42.6plusmn;1.8)岁；发病至 入院时间2?8d；肾前性70例，肾性26例，肾后性12例。入选