连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾功能衰竭的效果评价

Effects of Continuous Renal Replacement Therapy and Intermittent Hemodialysis on Severe Acute Renal Failure

目的:研究连续性肾脏替代治疗与间歇性血液透析治疗在重症急性肾功能衰竭中的应用价值。方法:选择2014年2月-2016年9月笔者所在医院接诊的重症急性肾功能衰竭患者54例,并将之以随机数表法分成A、B两组,每组27例。A组实施连续性肾脏替代治疗,B组实施间歇性血液透析治疗。观察两组病情的恢复情况,比较1年生存率等指标。结果:A组的治疗总有效率96.30%、1年生存率88.89%,均明显高于B组的77.78%、62.96%,差异均有统计学意义(字2=4.103 3、6.171 4,P<0.05)。治疗后,A组的Scr、BUN水平均明显低于B组,差异均有统计学意义(t=8.539 4、9.893 4,P<0.05)。结论:积极对重症急性肾功能衰竭患者施以连续性肾脏替代治疗,可显著改善其生存质量,提高病情控制效果。

Objective:To study the value of continuous renal replacement therapy and intermittent hemodialysis in severe acute renal failure.Method:A total of 54 patients with severe acute renal failure were selected from February 2014 to September 2016 in our hospital,and they were divided into group A and group B,27 cases in each group.Group A performed continuous renal replacement therapy,and group B performed intermittent hemodialysis treatment.The recovery of the two groups was observed,and the one-year survival rate was compared.Result:The total effective rate of treatment in group A was 96.30%,and the survival rate was 88.89%,higher than 77.78%,62.96%in group B,the differences were statistically significant(X2=4.103 3,6.171 4,P<0.05).The Scr and BUN levels of group A were significantly lower than those of group B,the differences were statistically significant(t=8.539 4,9.893 4,P<0.05).Conclusion:Continuous renal replacement therapy for patients with severe acute renal failure can significantly improve its quality of life and control effect.