连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾衰的对比

Comparative Study of Continuous Renal Replacement Therapy and Intermittent Hemodialysis in Treatment of Severe Acute Renal Failure

目的比较连续性肾脏替代治疗和间歇性血液透析治疗重症急性肾衰竭的临床疗效。方法选取2017年2月至2018年12月承德钢铁集团有限公司职工医院收治的100例重症急性肾衰竭患者,随机分为对照组和观察组,各50例。观察组接受连续性肾脏替代治疗,对照组接受间歇性血液透析治疗。观察并比较两组临床疗效和并发症发生情况。结果观察组总有效率为88.00%,明显高于对照组(70.00%,P <0.05)。观察组并发症总发生率为6.00%,明显低于对照组(18.00%,P <0.05)。结论重症急性肾衰竭患者采用连续性肾脏替代治疗效果优于间歇性血液透析。

Objective To compare the clinical efficacy of continuous renal replacement therapy and intermittent hemodialysis in the treatment of severe acute renal failure.Methods A total of 100 patients with severe acute renal failure admitted to the Staff Hospital of Chengde Iron and Steel Group Co.,Ltd.From February 2017 to December 2018 were randomly divided into the control group and the observation group,50 cases each.The observation group received continuous renal replacement therapy and the control group received intermittent hemodialysis.The clinical efficacy and complications of the two groups were observed and compared.Results The total effective rate of the observation group was 88.00%,which was significantly higher than that of the control group(70.00%,P<0.05).The total incidence of complications in the observation group was 6.00%,which was significantly lower than that in the control group(18.00%,P<0.05).Conclusions Continuous renal replacement therapy is better than intermittent hemodialysis in patients with severe acute renal failure.