血液净化治疗慢性心力衰竭合并急性肾损伤的效果分析

Effect of blood purification on chronic heart failure complicated with acute kidney injury

目的 对慢性心力衰竭合并急性肾损伤患者采用血液净化治疗方案,研究其治疗效果.方法 选择我院2015年12月至2016年9月收治的50例慢性心力衰竭合并急性肾损伤患者作为研究对象,按照患者的入院顺序将其分为对照组以及试验组,每组25例.对照组患者采用常规药物治疗,试验组患者在常规治疗的基础上采用血液净化治疗.治疗后,对所有患者进行肾功能检测,记录患者肾功能的恢复时间和治疗过程中两组患者发生心率失常的次数以及发生低血压的次数.结果 试验组患者肾功能恢复正常时间明显短于对照组（P＜0.05）.试验组患者治疗过程中的心率失常发生次数和低血压发生次数明显低于对照组,两组比较,差异均具有统计学意义（P＜0.05）.结论 对慢性心力衰竭合并急性肾损伤患者采用血液净化进行治疗能够使患者的肾功能更快恢复正常,从而提高患者的治疗效果,减少患者的不良反应发生率,值得在临床中推广使用.

Objective To study the therapeutic effect of blood purification in patients with chronic heart failure complicat- ed with acute kidney injury. Methods Fifty cases of patients with chronic heart failure complicated with acute renal injury in our hospital from December 2015 to September 2016 were selected as the research objects, and were divided into control group and experimental group according to the admission sequence of the patients in the hospital. Each group contained 25 patients; patients in the control group were treated with conventional therapy, while patients in the experimental group were treated with blood purification treatment based on the conventional therapy. After treatment, all patients underwent renal function test, the recovery time of renal function, frequency of arrhythmia and hypotension in patients during treatment were recorded. Results The renal function recovery time of the experimental group was significantly shorter than that of the control group, the difference was stafistically significant（P〈0.05）. The frequencies of arrhythmia and hypotension in the experimental group were significantly lower than those in the control group, the differences were statistically significant （P〈0.05）. Conclu- sion The application of blood purification in the patients with chronic heart failure complicated with acute kidney injury can promote patients renal function recovery quickly, so as to improve the therapeutic effect, reduce the incidence of adverse re- action, it is worthy of oopularization in clinical.