床旁血滤治疗肾综合征出血热急性肾功能衰竭的临床疗效分析

Clinical analysis of bedside hemofiltration in the treatment of acute renal failure caused by hemorrhagic fever with renal syndrome

目的探讨床旁血滤治疗肾综合征出血热急性肾功能衰竭的临床疗效。方法选取肾综合征出血热急性肾功能衰竭患者60例，将患者依据治疗方式分组，对照组采用单纯药物治疗，观察组采用药物治疗＋床旁血滤治疗；将患者各项临床资料详细整理后并进行回顾性分析。结果观察组治疗后采用血清肌酐（Scr）、内生肌酐（Ccr）、尿素氮（BUN）水平与治疗前及对照组治疗后比较，差异有统计学意义（P〈0．05）；观察组临床治疗总有效率高、病死率低、存活率高，与对照组比较差异有统计学意义（P〈0．05）。结论肾综合征出血热急性肾功能衰竭患者采取基础治疗联合床旁血滤辅助治疗效果显著，可充分改善患者Scr、Ccr、BUN等指标水平，有效改善患者的病情，值得临床广泛应用。

Objective To investigate the clinical effect of hematoplastic treatment on acute renal failure in renal syndrome. Methods Sixty patients with acute renal failure with renal syndrome were se- lected, the observation group was given drug treatment and bedside hemofihration. The patients were di- vided into groups of treatment modality, and the control group was treated with simple drug therapy. The patient＇s clinical data were carefully collated and analyzed retrospectively. Results The creatinine （Scr）, serum creatinine （Ccr）, urea nitrogen （BUN） levels changed significantly in the observation group after treatment, compared with before treatment and those of the control group （ P 〈 0. 05 ）. The to- tal effective rate was higher, the mortality was lower, and the high survival rate was higher in the observa- tion group than those in the control group （ P 〈 0. 0 5 ） . Conclusions Hemorrhagic fever with renalsyndrome in patients with acute renal failure treated by bedside blood filter at the same time, the effect ofadjuvant therapy can significantly improve the Scr, Ccr, BUN index levels, effectively improve the pa-tient＇ s condition, and is worthy of clinical application.