探讨连续性肾脏替代治疗(CRRT)急性左心衰并肾功能不全患者的疗效

Discussion on the effect of continuous renal replacement therapy(CRRT)in patients with acute left heart failure and renal insufficiency

目的:探究连续性肾脏替代治疗(CRRT)急性左心衰并肾功能不全患者的疗效。方法:2018年1-12月收治急性左心衰并肾功能不全患者66例,随机分为两组,各33例。对照组采用血液透析治疗,观察组采用CRRT治疗,比较两组治疗效果。结果:观察组治疗后肝功能各项指标水平均显著低于对照组,差异有统计学意义(P<0.05)。结论:CRRT与血液透析治疗心力衰竭患者均具有一定效果,若患者存在血流动力学不稳定的情况,选择连续性肾脏替代治疗方式更佳,能有效改善血流动力学各项指标水平,快速纠正患者体内电解质紊乱,从而进一步提高治疗效果。

Objective:To explore the curative effect of continuous renal replacement therapy(CRRT)in patients with acute left heart failure and renal insufficiency.Methods:From January to December 2018,66 cases of patients with acute left heart failure and renal insufficiency were enrolled,they were randomly divided into two groups with 33 cases in each group.The control group was treated with hemodialysis.The observation group was treated with CRRT.The therapeutic effects between the two groups was compared.Results:After treatment,the indicator levels of liver function in observation group was significantly lower than that in control group,the difference was statistically significant(P<0.05).Conclusion:CRRT and hemodialysis are effective in treating heart failure,if the patients has hemodynamic instability,it is better to choose continuous renal replacement therapy,it can effectively improve the levels of hemodynamic indexes,quickly correct electrolyte disorders in patients and further improve the therapeutic effect.